Elghannam Dental LLC
NPI 1164234910 · General Practice Dentistry · Woodbridge, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elghannam Dental LLC is a General Practice Dentistry organization in Woodbridge, VA (NPI 1164234910).
Provider details
- NPI number
- 1164234910
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mohamed Elghannam, Ceo(615) 499-0438
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Woodbridge Famliy and Implant Dentistry
Registry dates
- Enumerated
- 2025-01-20
- Last updated
- 2025-01-22
- Certified
- 2025-01-22
Frequently asked questions
- What is Elghannam Dental LLC's NPI number?
- Elghannam Dental LLC's National Provider Identifier (NPI) is 1164234910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elghannam Dental LLC?
- Elghannam Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Elghannam Dental LLC located?
- Elghannam Dental LLC's practice location on file with NPPES is 4421 Dale Blvd Ste 202, Woodbridge, VA 22193-2550.
- What is Elghannam Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Elghannam Dental LLC is (615) 499-0438.
- Does Elghannam Dental LLC accept Medicare?
- Elghannam Dental LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Elghannam Dental LLC?
- The authorized official listed on Elghannam Dental LLC's NPPES record is Mohamed Elghannam, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elghannam Dental LLC's NPI active?
- Yes — Elghannam Dental LLC's NPI (1164234910) is active in the NPPES registry as of the last update on 2025-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.