Provider Demographics
NPI:1245310747
Name:ADILI, MEHDI S (DDS)
Entity type:Individual
Prefix:MRS
First Name:MEHDI
Middle Name:S
Last Name:ADILI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 10403
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22103
Mailing Address - Country:US
Mailing Address - Phone:703-442-0442
Mailing Address - Fax:703-442-0498
Practice Address - Street 1:8280 GREENSBORO DR.
Practice Address - Street 2:SUITE 105
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22102
Practice Address - Country:US
Practice Address - Phone:703-442-0442
Practice Address - Fax:703-442-0498
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA75221223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics