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FAIR OAKS SMILES PEDIATRIC DENTISTRY
NPI 1508716838
Dentist - Pediatric Dentistry in Fairfax, VA

Active since January 28, 2026
4001 FAIR RIDGE DR STE 205, FAIRFAX, VA 22033(703) 589-9962(703) 831-3773 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fair Oaks Smiles Pediatric Dentistry NPPES

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

FAIR OAKS SMILES PEDIATRIC DENTISTRY (NPI 1508716838) is a healthcare organization registered as a pediatric dentistry in Fairfax, Virginia and active in the NPI registry since January 2026. The organization lists Raisa Reina, Om, as its authorized official.

NPPES Registry Identity

NPI1508716838
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFAIR OAKS SMILES PEDIATRIC DENTISTRY
Location Address4001 FAIR RIDGE DR STE 205Fairfax, VA 22033-2917
Mailing Address4001 Fair Ridge Dr Ste 205Fairfax, VA 22033-2917 · (703) 589-9962 · Fax (703) 831-3773
Phone(703) 589-9962
Fax(703) 831-3773
Organization SubpartNo
Authorized OfficialRaisa ReinaOm · (703) 986-8456
Enumeration DateJanuary 28, 2026
NPPES CertifiedJanuary 28, 2026
✔ NPI 1508716838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4001 FAIR RIDGE DR STE 205, Fairfax, VA 22033
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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 Fair Oaks Smiles Pediatric Dentistry's NPI number?

The NPI number for Fair Oaks Smiles Pediatric Dentistry is 1508716838. It was assigned to this organization in the NPPES registry on January 28, 2026.

Where is Fair Oaks Smiles Pediatric Dentistry located?

Fair Oaks Smiles Pediatric Dentistry is located at 4001 Fair Ridge Dr Ste 205, Fairfax, VA 22033. The listed phone number is (703) 589-9962.

What is Fair Oaks Smiles Pediatric Dentistry'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 Fair Oaks Smiles Pediatric Dentistry was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.