Galleria Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

0401411457 Issued in VA

Legal business name

GALLERIA FAMILY DENTISTRY

Practice address

8711 Digges Rd
Manassas, VA 20110-4403

Phone

(703) 368-9777

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Tamer M Abdelwahab, DDS,FAGD,FICOI

Title

Dentist

Phone

(703) 368-9777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1801255658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 DIGGES RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104403",
            "telephone_number": "703-368-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8711 DIGGES RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104403",
            "telephone_number": "703-368-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERIA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "ABDELWAHAB",
        "authorized_official_first_name": "TAMER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-368-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,FAGD,FICOI"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kahlil Ashley Gaiters, DO
• Hema R Gajula, M.D.
• Galaxy Behavioral Health
• Cathryn Therese Gallagher
• Joni Gallegos, PT
• Amarilys Galloza Carrero, PH.D.
• Donna Lynn Galpin, LPC
• Stephanie Michelle Galuk, DO
• Stephanie Joanne Gamboa
• Mitul Gandhi, M.D.

• Dentist in Manassas, VA
• Providers in Manassas, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.