Provider Demographics
NPI:1154116085
Name:DENTAL EXCELLENCE, PLLC
Entity type:Organization
Organization Name:DENTAL EXCELLENCE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:503-706-1907
Mailing Address - Street 1:2915 HIBBARD ST
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-2613
Mailing Address - Country:US
Mailing Address - Phone:503-706-1907
Mailing Address - Fax:
Practice Address - Street 1:7815 SUDLEY RD
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2805
Practice Address - Country:US
Practice Address - Phone:571-208-1325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty