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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHADEN DENTAL GROUP PLLC
NPI 1215863725
Dentist - Pediatric Dentistry in Fairfax, VA

Active since June 22, 2026
11150 FAIRFAX BLVD STE 400, FAIRFAX, VA 22030(703) 679-8042 Get Directions Write a Review

NPPES record added: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shaden Dental Group Pllc NPPES

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

SHADEN DENTAL GROUP PLLC (NPI 1215863725) is a healthcare organization registered as a pediatric dentistry in Fairfax, Virginia and active in the NPI registry since June 2026. The organization lists Shaden Alfaqih, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1215863725
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSHADEN DENTAL GROUP PLLC
Location Address11150 FAIRFAX BLVD STE 400Fairfax, VA 22030-5066
Mailing Address3794 Rainier DrFairfax, VA 22033-2990 · (703) 679-8042
Phone(703) 679-8042
Organization SubpartNo
Authorized OfficialShaden AlfaqihPediatric Dentist · (703) 679-8042
Enumeration DateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1215863725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
11150 FAIRFAX BLVD STE 400, Fairfax, VA 22030
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaden Dental Group PLLC's NPI number?

The NPI number for Shaden Dental Group PLLC is 1215863725. It was assigned to this organization in the NPPES registry on June 22, 2026.

Where is Shaden Dental Group PLLC located?

Shaden Dental Group PLLC is located at 11150 Fairfax Blvd Ste 400, Fairfax, VA 22030. The listed phone number is (703) 679-8042.

What is Shaden Dental Group PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Shaden Dental Group PLLC was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.