Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sanctuary Oral Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1780566299

Sanctuary Oral Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Mc Lean, Virginia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1650 Tysons Blvd Ste 100
Mc Lean, VA 22102-4880
Phone: (703) 893-3937
Fax: (215) 243-7546
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1780566299
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abdul Khattab — Director · (703) 893-3937
NPI enumeratedJuly 24, 2025
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address1650 Tysons Blvd Ste 100, Mc Lean, VA 22102-4880

Other providers in Mc Lean