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FAIRFAX COUNTY DENTAL CLINIC
NPI 1174558258
Clinic/Center - Dental in Fairfax, VA

Active since July 11, 2006
10777 MAIN ST, SUITE 202, FAIRFAX, VA 22030(703) 246-8695 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fairfax County Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRFAX COUNTY DENTAL CLINIC (NPI 1174558258) is a healthcare organization registered as a dental in Fairfax, Virginia and active in the NPI registry since July 2006. The organization lists Anthony Griffin, County Executive, as its authorized official.

NPPES Registry Identity

NPI1174558258
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA
Location Address10777 MAIN ST, SUITE 202Fairfax, VA 22030-6903
Mailing Address12000 Government Center Pkwy, Suite 552Fairfax, VA 22035-0001 · (703) 324-3360 · Fax (703) 324-4573
Phone(703) 246-8695
Organization SubpartYesParent: County Of Fairfax, Virginia
Authorized OfficialAnthony GriffinCounty Executive · (703) 324-3360
Enumeration DateJuly 11, 2006
Last NPPES UpdateJune 18, 2008
✔ NPI 1174558258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
10777 MAIN ST, Fairfax, VA 22030
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Other Names 1

Doing Business AsFairfax County Dental Clinic

Other Identifiers 3

Medicaid8451249VA
Medicaid8450251VA
Medicaid8451231VA

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REGINA M MILTEER MD
Pediatrics
10777 MAIN ST, SUITE 300
FAIRFAX, VA 22030
Fairfax City (703) 246-6015
DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA
Clinic/Center (Public Health, State or Local)
10777 MAIN ST, SUITE 202
FAIRFAX, VA 22030
Fairfax City (703) 246-8695
DR. RAJAA SATOURI MD
Preventive Medicine (Public Health & General Preventive Medicine)
10777 MAIN ST
FAIRFAX, VA 22030
Fairfax City (703) 246-2479
DR. GLORIA AYEYIDWOM ADDO AYENSU MD MPH
Preventive Medicine (Public Health & General Preventive Medicine)
10777 MAIN ST, #203
FAIRFAX, VA 22030
Fairfax City (703) 246-2479
MS. SHAUNA MARIE SEVERO RN, BSN
Registered Nurse (Administrator)
10777 MAIN ST
FAIRFAX, VA 22030
Fairfax City (703) 246-9776
MS. LORRAINE MARY MCLEAN F.N.P.
Nurse Practitioner (Family)
10777 MAIN ST, SUITE 203
FAIRFAX, VA 22030
Fairfax City (703) 246-2433
MRS. RIETA SCOTT NP
Nurse Practitioner
10777 MAIN ST, SUITE 203
FAIRFAX, VA 22030
Fairfax City (703) 246-8643
DR. PETER THOMAS TROELL JR. MD, MPH
Preventive Medicine (Public Health & General Preventive Medicine)
10777 MAIN ST, SUITE 211
FAIRFAX, VA 22030
Fairfax City (703) 246-2433

Frequently Asked Questions

What is DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA's NPI number?

The NPI number assigned to this healthcare provider is 1174558258, enumerated as an "organization" on July 11, 2006.

Where is the provider located?

The provider is located at 10777 MAIN ST SUITE 202 FAIRFAX, VA 22030 and the phone number is (703) 246-8695.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

What insurance does DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.