Sanctuary Oral Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SANCTUARY ORAL MAXILLOFACIAL SURGERY

Practice address

1650 Tysons Blvd Ste 100
MC Lean, VA 22102-4880

Phone

(703) 893-3937

Fax

(215) 243-7546

NPI assigned

Jul 24, 2025

Last updated

Jul 24, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Abdul Khattab

Title

Director

Phone

(703) 893-3937

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1780566299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 TYSONS BLVD STE 100",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024880",
            "telephone_number": "703-893-3937",
            "fax_number": "215-243-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 TYSONS BLVD STE 100",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024880",
            "telephone_number": "703-893-3937",
            "fax_number": "215-243-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY ORAL MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "KHATTAB",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-893-3937",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Merrily Salyer, PSYCHOLOGIST, PH.D.
• Cheryl Sampson
• John Sanil Samuel, M.D.
• Vinna Patricia San Juan, FNP-BC
• Laura Alejandra Sanchez Mendez
• Margaret M Sanders, NP
• Risa E Sanders, PH.D.
• Toni Nicole Sanders
• Fereshteh Sani, M.D.
• Gabriel Fernando Santiago, M.D.

• Oral and Maxillofacial Surgery (Dentist) in McLean, VA
• Providers in McLean, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.