Organization · Type 2 NPI
Sanctuary Oral Maxillofacial Surgery
Oral and Maxillofacial Surgery (Dentist) · Mc Lean, VA
NPI number
1780566299
Active
Practice location
1650 Tysons Blvd Ste 100
Mc Lean, VA 22102-4880
Fax (215) 243-7546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Mc Lean
About NPI 1780566299
Sanctuary Oral Maxillofacial Surgery's National Provider Identifier is 1780566299, issued on Jul 24, 2025. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mc Lean, VA. The record was last updated on Jul 24, 2025.