Provider Demographics
NPI:1578981866
Name:AL-MAHDI, AMMAR (DDS, MS, ABO)
Entity type:Individual
Prefix:
First Name:AMMAR
Middle Name:
Last Name:AL-MAHDI
Suffix:
Gender:M
Credentials:DDS, MS, ABO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11700 TALLEY CT
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-1251
Mailing Address - Country:US
Mailing Address - Phone:571-426-5788
Mailing Address - Fax:
Practice Address - Street 1:6565 ARLINGTON BLVD STE 501
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3018
Practice Address - Country:US
Practice Address - Phone:703-534-8711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-03
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRES.32701223X0400X
VA04014152181223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics