FAIRFAX DENTAL CENTER
NPI 1245766484
Dentist in Fairfax, VA

Active since May 09, 2017
4000 VIRGINIA ST, FAIRFAX, VA 22032(703) 273-1443(703) 273-9186 Get Directions Write a Review

NPPES record last updated: May 9, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist

About FAIRFAX DENTAL CENTER

This page provides the complete NPI Profile along with additional information for Fairfax Dental Center, a provider established in Fairfax, Virginia operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1245766484 assigned on May 2017. The practitioner's primary taxonomy code is 122300000X with license number 0401410745 (VA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Jessica Hague (Office Manager)

NPI
1245766484 Verify this NPI
Provider Name
FAIRFAX DENTAL CENTER
Entity Type
Organization
Location Address
4000 VIRGINIA ST FAIRFAX, VA 22032
Location Phone
(703) 273-1443
Location Fax
(703) 273-9186
Mailing Address
4000 VIRGINIA ST FAIRFAX, VA 22032
Mailing Phone
(703) 273-1443
Mailing Fax
(703) 273-9186
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-09-2017
Last Update Date
05-09-2017
Code Navigator

A dentist like Fairfax Dental Center is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
0401410745
License State
VA
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JESSICA HAGUE

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(703) 273-1443

Reviews for FAIRFAX DENTAL CENTER

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Dentist (General Practice)
4000 VIRGINIA ST
FAIRFAX, VA 22032
Dentist
4000 VIRGINIA ST
FAIRFAX, VA 22032
Dentist
4000 VIRGINIA ST
FAIRFAX, VA 22032
Dentist (General Practice)
4000 VIRGINIA ST
FAIRFAX, VA 22032
Dentist (General Practice)
4000 VIRGINIA ST
FAIRFAX, VA 22032
Dentist
4000 VIRGINIA ST
FAIRFAX, VA 22032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245766484, enumerated as an "organization" on May 09, 2017.

The provider is located at 4000 VIRGINIA ST FAIRFAX, VA 22032 and the phone number is (703) 273-1443.

Dentist with taxonomy code 122300000X.