Abeer Mousa Abdulhafiz, DDS
Individual provider Active NPI Dentist · Hampton, VA
NPI 1831683499 · NPPES record last updated Jan 20, 2022
Key facts
- NPI
- 1831683499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 0401417489 (VA)
- Practice address
- 2040 Coliseum Dr Ste A27
Hampton, VA 23666-3200 - Phone
- (757) 262-0020
- NPI assigned
- Jun 18, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401417489 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dental of Virginia, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401417489 | VA | Yes |
Addresses
Primary practice location
2040 Coliseum Dr Ste A27
Hampton, VA 23666-3200
Mailing address
13521 Hollyridge Ave
Baton Rouge, LA 70817-3422
Phone (225) 678-2775
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.