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FAIRFAX ORAL AND MAXILLOFACIAL SURGERY PC
NPI 1710907134
Dentist - Oral and Maxillofacial Surgery in Fairfax, VA

Active since July 20, 2006CLIA 49D1101653 · Waiver
10530 ROSEHAVEN ST, SUITE 111, FAIRFAX, VA 22030(703) 385-5777(703) 591-5386 Get Directions Write a Review

NPPES record last updated: April 27, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fairfax Oral And Maxillofacial Surgery Pc NPPES

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

FAIRFAX ORAL AND MAXILLOFACIAL SURGERY PC (NPI 1710907134) is a healthcare organization registered as an oral and maxillofacial surgery in Fairfax, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Julia M Spradlin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1710907134
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameFAIRFAX ORAL AND MAXILLOFACIAL SURGERY PC
Location Address10530 ROSEHAVEN ST, SUITE 111Fairfax, VA 22030-2840
Mailing Address10530 Rosehaven St, Suite 111Fairfax, VA 22030-2840 · (703) 385-5777 · Fax (703) 591-5386
Phone(703) 385-5777
Fax(703) 591-5386
Organization SubpartNo
Authorized OfficialJulia M SpradlinAdministrator · (703) 385-5777
Enumeration DateJuly 20, 2006
Last NPPES UpdateApril 27, 2009
✔ NPI 1710907134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
10530 ROSEHAVEN ST, Fairfax, VA 22030
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Other Identifiers 1

Medicare UPIN597426VA

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 Humana, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D1101653

Fairfax Oral And Maxillofacial Surgery · Centreville, VA
Active · expires Jun 30, 2027
CLIA Number49D1101653
Laboratory TypeOther
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorFrederick Liu
Laboratory Phone(703) 385-5777
Laboratory LocationFairfax Oral And Maxillofacial Surgery6211 Centreville Road - Suite 800, Centreville, VA 20121
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN J PARK D.M.D.,M.D.
Dentist (Oral and Maxillofacial Surgery)
10530 ROSEHAVEN ST, SUITE 111
FAIRFAX, VA 22030
Fairfax City (703) 385-5777
DINRAJ HEGDE MD
Family Medicine
10530 ROSEHAVEN ST
FAIRFAX, VA 22030
Fairfax City (703) 938-0363
HENRY W. ZUSSMAN D.D.S.
Dentist (Oral and Maxillofacial Surgery)
10530 ROSEHAVEN ST, SUITE 111
FAIRFAX, VA 22030
Fairfax City (703) 385-5777
JEFFREY A LANE D.D.S.
Dentist (Oral and Maxillofacial Surgery)
10530 ROSEHAVEN ST, SUITE 111
FAIRFAX, VA 22030
Fairfax City (703) 385-5777
PATRICK J DOLAN D.D.S.
Dentist (Oral and Maxillofacial Surgery)
10530 ROSEHAVEN ST, SUITE 111
FAIRFAX, VA 22030
Fairfax City (703) 385-5777
KIMBERLY A SILLOWAY D.D.S.
Dentist (Oral and Maxillofacial Surgery)
10530 ROSEHAVEN ST, SUITE 111
FAIRFAX, VA 22030
Fairfax City (703) 385-5777
PETER W. SMITH D.D.S.
Dentist (Oral and Maxillofacial Surgery)
10530 ROSEHAVEN ST, SUITE 111
FAIRFAX, VA 22030
Fairfax City (703) 385-5777
DR. CYRUS A RAMSEY DMD MD
Dentist (Oral and Maxillofacial Surgery)
10530 ROSEHAVEN ST
FAIRFAX, VA 22030
Fairfax City (703) 385-5777

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 Oral And Maxillofacial Surgery PC's NPI number?

The NPI number for Fairfax Oral And Maxillofacial Surgery PC is 1710907134. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Fairfax Oral And Maxillofacial Surgery PC located?

Fairfax Oral And Maxillofacial Surgery PC is located at 10530 Rosehaven St Suite 111, Fairfax, VA 22030. The listed phone number is (703) 385-5777.

What is Fairfax Oral And Maxillofacial Surgery PC's specialty?

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

Does Fairfax Oral And Maxillofacial Surgery PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1101653) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fairfax Oral And Maxillofacial Surgery PC accept?

Health plans from Humana and UnitedHealthcare list Fairfax Oral And Maxillofacial Surgery PC 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 Oral And Maxillofacial Surgery PC was last updated on April 27, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.