Healthcare Provider Details

I. General information

NPI: 1487883518
Provider Name (Legal Business Name): YASSER MUHAMMED KHEDR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2009
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 S. MAIN STREET, STE 101
CULPEPER VA
22701
US

IV. Provider business mailing address

415 S. MAIN STREET, STE 101
CULPEPER VA
22701
US

V. Phone/Fax

Practice location:
  • Phone: 540-825-7676
  • Fax: 540-825-2246
Mailing address:
  • Phone: 540-825-7676
  • Fax: 540-825-2246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number0401412828
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: