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FAIR LAKES DENTAL
NPI 1548493885
Dentist - General Practice in Fairfax, VA

Active since September 03, 2009
12989 FAIR LAKES PKWY, FAIRFAX, VA 22033(703) 222-1230 Get Directions Write a Review

NPPES record last updated: September 3, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Fair Lakes Dental NPPES

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

FAIR LAKES DENTAL (NPI 1548493885) is a healthcare organization registered as a general practice in Fairfax, Virginia and active in the NPI registry since September 2009. The organization lists Joseph Dehyar, Owner, as its authorized official.

NPPES Registry Identity

NPI1548493885
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAIR LAKES DENTAL
Location Address12989 FAIR LAKES PKWYFairfax, VA 22033
Mailing Address9534 Burke RoadBurke, VA 22015 · (703) 764-0650 · Fax (703) 764-1772
Phone(703) 222-1230
Organization SubpartNo
Authorized OfficialJoseph DehyarOwner · (703) 764-0650
Enumeration DateSeptember 3, 2009
✔ NPI 1548493885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401411034
Definition
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.
12989 FAIR LAKES PKWY, Fairfax, VA 22033
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Lakes Dental's NPI number?

The NPI number for Fair Lakes Dental is 1548493885. It was assigned to this organization in the NPPES registry on September 3, 2009.

Where is Fair Lakes Dental located?

Fair Lakes Dental is located at 12989 Fair Lakes Pkwy, Fairfax, VA 22033. The listed phone number is (703) 222-1230.

What is Fair Lakes Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Fair Lakes Dental was last updated on September 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.