OrganizationActive
Elevate Oral Surgery
NPI 1861147993 · Oral and Maxillofacial Surgery (Dentist) · Herndon, VA
Provider details
- NPI number
- 1861147993
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Tamer Elhady, General Partner(703) 980-2475
Specialties & taxonomies
Dental Providers
Practice location
131 Elden St Ste 300
Herndon, VA 20170-4851
Phone: (703) 689-3900
Fax: (703) 689-3903
Approximate (ZIP-level) locationGet directions
Mailing address
3903 Fair Ridge Dr Ste 215
Fairfax, VA 22033-2945
Other names (DBA / former)
- Doing business as
- Elevate Oral Surgery
Registry dates
- Enumerated
- 2022-02-17
- Last updated
- 2022-02-17
- Certified
- 2022-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.