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

Mehdi Mustafa Hasan

Individual provider Dentist · NPI 1760916993

Mehdi Mustafa Hasan is a Dentist in Chantilly, Virginia. Practices as a sole proprietor. Licensed in Maryland and Virginia.

Licensed in
MD, VA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

4090 Lafayette Center Dr Ste F
Chantilly, VA 20151-1244
Phone: (410) 706-7116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0401415660 (VA)
Dentist Taxonomy 122300000X · Licence 16467 (MD)

Record details

NPI number1760916993
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 13, 2017
Last updated in NPPESJuly 21, 2022
Mailing address4327 Ravensworth Rd Apt 812, Annandale, VA 22003-5652

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