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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619535614

Dr. Maxwell F Marzouk, DDS is a Student in an Organized Health Care Education/Training Program in Annandale, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2019
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4322 Ravensworth Rd
Annandale, VA 22003-5630
Phone: (703) 940-1359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 N Broadway, Sleepy Hollow, NY 10591-1020 — (914) 594-2124

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0401416994 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619535614
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 4, 2019
Last updated in NPPESAugust 24, 2020
Certification dateAugust 24, 2020

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