FAIR LAKES FAMILY AND COSMETIC DENTISTRY
NPI 1427322734
Dentist - General Practice in Fairfax, VA

Active since March 05, 2012
12110 MONUMENT DR STE A, FAIRFAX, VA 22033(703) 273-4505(703) 273-5757 Get Directions Write a Review

NPPES record last updated: March 5, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About FAIR LAKES FAMILY AND COSMETIC DENTISTRY

This page provides the complete NPI Profile along with additional information for Fair Lakes Family And Cosmetic Dentistry, a provider established in Fairfax, Virginia operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1427322734 assigned on March 2012. The practitioner's primary taxonomy code is 1223G0001X with license number 0401410709 (VA). The provider is registered as an organization and their NPI record was last updated 14 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 Dr. Annah P Tran Dds (Dentist, President)

NPI
1427322734 Verify this NPI
Provider Name
FAIR LAKES FAMILY AND COSMETIC DENTISTRY
Entity Type
Organization
Location Address
12110 MONUMENT DR STE A FAIRFAX, VA 22033
Location Phone
(703) 273-4505
Location Fax
(703) 273-5757
Mailing Address
12110 MONUMENT DR STE A FAIRFAX, VA 22033
Mailing Phone
(703) 273-4505
Mailing Fax
(703) 273-5757
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2012
Last Update Date
03-05-2012
Code Navigator

A dentist like Fair Lakes Family And Cosmetic Dentistry 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
0401410709
License State
VA
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X 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

DR. ANNAH P TRAN DDS

Authorized Official Title
DENTIST, PRESIDENT
Authorized Official Phone
(703) 273-4505

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist
12110 MONUMENT DR STE A
FAIRFAX, VA 22033
Dentist
12110 MONUMENT DR STE A
FAIRFAX, VA 22033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427322734, enumerated as an "organization" on March 05, 2012.

The provider is located at 12110 MONUMENT DR STE A FAIRFAX, VA 22033 and the phone number is (703) 273-4505.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.