Provider Demographics
NPI:1144380650
Name:ELHADY, TAMER N (DMD)
Entity Type:Individual
Prefix:DR
First Name:TAMER
Middle Name:N
Last Name:ELHADY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 CHAIN BRIDGE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2834
Mailing Address - Country:US
Mailing Address - Phone:703-281-6201
Mailing Address - Fax:703-281-6208
Practice Address - Street 1:3050 CHAIN BRIDGE RD STE 201
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2834
Practice Address - Country:US
Practice Address - Phone:703-281-6201
Practice Address - Fax:703-281-6208
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014102631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice