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FAIRFAX DENTISTRY, PLLC
NPI 1710496294
Dentist - General Practice in Fairfax, VA

Active since September 27, 2017
11351 RANDOM HILLS RD STE 102, FAIRFAX, VA 22030(703) 691-2221(703) 691-3215 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fairfax Dentistry, Pllc NPPES

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

FAIRFAX DENTISTRY, PLLC (NPI 1710496294), doing business as Samuel S. Ham, Dds, Pc, is a healthcare organization registered as a general practice in Fairfax, Virginia and active in the NPI registry since September 2017. The organization lists Samuel Saeho Ham, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1710496294
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAIRFAX DENTISTRY, PLLC
Location Address11351 RANDOM HILLS RD STE 102Fairfax, VA 22030-6081
Mailing Address11351 Random Hills Rd Ste 102Fairfax, VA 22030-6081 · (703) 691-2221 · Fax (703) 691-3215
Phone(703) 691-2221
Fax(703) 691-3215
Organization SubpartNo
Authorized OfficialSamuel Saeho HamOwner/dentist · (703) 691-2221
Enumeration DateSeptember 27, 2017
Last NPPES UpdateJuly 21, 2022
✔ NPI 1710496294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
11351 RANDOM HILLS RD STE 102, Fairfax, VA 22030
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Other Names 1

Former Legal Business NameSamuel S. Ham, Dds, Pc

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Fairfax Dentistry, PLLC's NPI number?

The NPI number for Fairfax Dentistry, PLLC is 1710496294. It was assigned to this organization in the NPPES registry on September 27, 2017. The provider was formerly known as Samuel S. Ham, Dds, PC.

Where is Fairfax Dentistry, PLLC located?

Fairfax Dentistry, PLLC is located at 11351 Random Hills Rd Ste 102, Fairfax, VA 22030. The listed phone number is (703) 691-2221.

What is Fairfax Dentistry, PLLC's specialty?

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

What insurance does Fairfax Dentistry, PLLC accept?

Health plans from UnitedHealthcare list Fairfax Dentistry, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fairfax Dentistry, PLLC was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.