Humam Alathari, DDS

Individual provider Active NPI Dentist · Sterling, VA

NPI 1801809397 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1801809397
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
0401411247 (VA)
Practice address
21155 Whitfield PL Ste 106
Sterling, VA 20165-7277
Phone
(703) 444-5553
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0401411247VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Zina Alathari, DMD PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401411247 VA Yes

Addresses

Primary practice location

21155 Whitfield PL Ste 106
Sterling, VA 20165-7277

Mailing address

21155 Whitfield PL Ste 106
Sterling, VA 20165-7277

Other providers in Sterling, VA

All providers in Sterling, VA · Dentist in Virginia

Sources for this page

Verify at the official NPI Registry.