Provider Demographics
NPI:1710155247
Name:DR. SHERIF N. ELHADY DDS MS PC
Entity Type:Organization
Organization Name:DR. SHERIF N. ELHADY DDS MS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERIF
Authorized Official - Middle Name:N
Authorized Official - Last Name:ELHADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-440-0100
Mailing Address - Street 1:6505 SYDENSTRICKER RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-4282
Mailing Address - Country:US
Mailing Address - Phone:703-440-0100
Mailing Address - Fax:703-440-1312
Practice Address - Street 1:6505 SYDENSTRICKER RD
Practice Address - Street 2:SUITE B
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-4282
Practice Address - Country:US
Practice Address - Phone:703-440-0100
Practice Address - Fax:703-440-1312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014108211223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty