| Dr Mohamed M Elghannam, DDS | |
|
220 W Brambleton Ave Ste 111, Norfolk, VA 23510-1571 | |
| (757) 583-1536 | |
| (757) 583-3470 |
| Full Name | Dr Mohamed M Elghannam |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 220 W Brambleton Ave Ste 111, Norfolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831717180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401417740 (Virginia) | Primary |
| Entity Name | Elghannam Dental Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164234910 PECOS PAC ID: 9739604786 Enrollment ID: O20250422003248 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mohamed M Elghannam, DDS 220 W Brambleton Ave Ste 111, Norfolk, VA 23510-1571 Ph: (757) 583-1536 | Dr Mohamed M Elghannam, DDS 220 W Brambleton Ave Ste 111, Norfolk, VA 23510-1571 Ph: (757) 583-1536 |
Dr. Sojeong Kim, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1647 Admiral Taussig Blvd, Norfolk, VA 23511 Phone: 757-953-8575 | |
Jasmine Schneider, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7923 Halprin Dr, Norfolk, VA 23518 Phone: 757-587-0874 | |
Joseph Scott Anderson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1647 Admiral Taussig Blvd, Norfolk, VA 23511 Phone: 757-953-8592 | |
Thomas N Hawkins Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1647 Admiral Taussig Blvd, Norfolk, VA 23511 Phone: 757-314-6609 | |
Dr. Samuel Heriges Chambers, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: Uss Trenton, Fpo/ae 09588-1719, Norfolk, VA 23707 Phone: 757-444-1450 | |
David Adam Myers, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1647 Admiral Taussig Blvd, Norfolk, VA 23511 Phone: 757-953-8547 | |
Dr. Eric Scott Samuels, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1647 Admiral Taussig Blvd, Norfolk, VA 23511 Phone: 757-843-9581 |