Anthony a. Elgohary, DMD, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410824 Issued in VA

Legal business name

ANTHONY A. ELGOHARY, DMD, PLLC

Practice address

5131 River Club Dr
Suite 220
Suffolk, VA 23435-3661

Phone

(757) 484-4197

Fax

(757) 483-9065

NPI assigned

Feb 22, 2017

Organization subpart

No

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

Authorized official

Name

Karen Lee Ricks

Title

Office Manager

Phone

(757) 484-4197

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1801335989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 RIVER CLUB DR",
            "address_2": "SUITE 220",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353661",
            "telephone_number": "757-484-4197",
            "fax_number": "757-483-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 RIVER CLUB DR",
            "address_2": "SUITE 220",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353661",
            "telephone_number": "757-484-4197",
            "fax_number": "757-483-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY A. ELGOHARY, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "RICKS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-484-4197"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Suffolk, VA
• Providers in Suffolk, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.