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PATRICK J DOLAN D.D.S.
NPI 1760406805
Dentist - Oral and Maxillofacial Surgery in Fairfax, VA

Active since July 26, 2006Opted out of Medicare · through Apr 1, 2028
10530 ROSEHAVEN ST, SUITE 111, FAIRFAX, VA 22030(703) 385-5777(703) 591-5386 Get Directions Write a Review

NPPES record last updated: February 19, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Patrick J Dolan D.d.s. NPPES

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

PATRICK J DOLAN D.D.S. (NPI 1760406805) is an individual oral and maxillofacial surgery provider in Fairfax, Virginia, licensed in Virginia (0401006509) and active in the NPI registry since July 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1760406805
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NamePATRICK J DOLANCredential: D.D.S.
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
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateFebruary 19, 2009
✔ NPI 1760406805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in VA · 0401006509
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
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIN053468Z26VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Patrick J Dolan D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2014 through April 1, 2028.

Opt-Out Effective DateApril 1, 2014
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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
FAIRFAX ORAL AND MAXILLOFACIAL SURGERY PC
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 Patrick Dolan's NPI number?

The NPI number for Patrick Dolan is 1760406805. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Patrick Dolan located?

Patrick Dolan practices at 10530 Rosehaven St Suite 111, Fairfax, VA 22030. The listed phone number is (703) 385-5777.

What is Patrick Dolan's specialty?

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

Is Patrick Dolan enrolled in Medicare?

No. Patrick Dolan has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Patrick Dolan was last updated on February 19, 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.