Healthcare Provider Details
I. General information
NPI: 1871421065
Provider Name (Legal Business Name): HMS DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4001 VIRGINIA BEACH BLVD STE 110
VIRGINIA BEACH VA
23452-1759
US
IV. Provider business mailing address
4001 VIRGINIA BEACH BLVD STE 110
VIRGINIA BEACH VA
23452-1759
US
V. Phone/Fax
- Phone: 202-904-0644
- Fax:
- Phone: 202-904-0644
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HAFIZ
SHARAWI
Title or Position: DDS/ OWNER
Credential: DDS
Phone: 202-904-0644