Mariam Abdelrazig Khateeb, DMD

Pediatric Dentistry · Quantico, VA

Individual Active NPI

NPI number 1275722027

Practice location

238 Potomac Ave
Quantico, VA 22134-3459
Phone
(703) 640-1000
Fax
(703) 630-2526

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NPI record

NPI
1275722027
Entity type
Individual (Type 1)
Enumeration date
October 17, 2007
Last updated
October 17, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 0401400753 VA

Mailing address

5200 Lyngate Ct
Burke, VA 22015-1631
Phone
(703) 978-1903

About Dr. Khateeb

Mariam Abdelrazig Khateeb, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 238 Potomac Ave, Quantico, VA 22134-3459. The NPI number 1275722027 was assigned on October 17, 2007 and the record was last updated on October 17, 2007.

Dr. Khateeb lists a license in the registry: #0401400753 (VA) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mariam Abdelrazig Khateeb, DMD?

The NPI number is 1275722027.

What is the phone number of Dr. Khateeb?

The phone number listed for the practice location is (703) 640-1000.

Where is Dr. Khateeb located?

238 Potomac Ave, Quantico, VA 22134-3459.

What is the taxonomy code for Dr. Khateeb?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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