Healthcare Provider Details

I. General information

NPI: 1689747412
Provider Name (Legal Business Name): MEHDI ADILI DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8353 A GREENSBORO DR
MCLEAN VA
22102
US

IV. Provider business mailing address

8353 A GREENSBORO DR
MCLEAN VA
22102
US

V. Phone/Fax

Practice location:
  • Phone: 703-442-0442
  • Fax: 703-442-0498
Mailing address:
  • Phone: 703-442-0442
  • Fax: 703-442-0498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: MRS. MEHDI S ADILI
Title or Position: OWNER PROSTHODONTICS
Credential: DDS
Phone: 703-442-0442