WALNUT DENTAL ASSOCIATES, LLC
NPI 1275125809
Dentist - Oral and Maxillofacial Surgery in Fairfax, VA

Q: What is Walnut Dental Associates, LLC's NPI number?

The NPI number for Walnut Dental Associates, LLC is 1275125809. It was assigned to this organization in the NPPES registry on February 4, 2021.

Q: What is Walnut Dental Associates, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since February 04, 2021

3930 WALNUT ST STE 240, FAIRFAX, VA 22030(703) 638-1420(703) 638-1421 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Walnut Dental Associates, Llc NPPES

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

WALNUT DENTAL ASSOCIATES, LLC (NPI 1275125809) is a healthcare organization registered as an oral and maxillofacial surgery in Fairfax, Virginia and active in the NPI registry since February 2021. The organization lists Rolin S Henry, Member, as its authorized official.

NPPES Registry Identity

NPI1275125809

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameWALNUT DENTAL ASSOCIATES, LLC

Location Address3930 WALNUT ST STE 240Fairfax, VA 22030-4738

Mailing Address3930 Walnut St Ste 240Fairfax, VA 22030-4738 · (703) 638-1420 · Fax (703) 638-1421

Phone(703) 638-1420

Fax(703) 638-1421

Organization SubpartNo

Authorized OfficialRolin S HenryMember · (703) 638-1420

Enumeration DateFebruary 4, 2021

NPPES CertifiedFebruary 4, 2021

✔ NPI 1275125809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X

3930 WALNUT ST STE 240, 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 Walnut Dental Associates, LLC's NPI number?

The NPI number for Walnut Dental Associates, LLC is 1275125809. It was assigned to this organization in the NPPES registry on February 4, 2021.

Where is Walnut Dental Associates, LLC located?

Walnut Dental Associates, LLC is located at 3930 Walnut St Ste 240, Fairfax, VA 22030. The listed phone number is (703) 638-1420.

What is Walnut Dental Associates, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Walnut Dental Associates, LLC was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.