FAIRFAX DENTAL ESTHETICS
NPI 1790349801
Dentist in Fairfax, VA

Q: What is Fairfax Dental Esthetics's NPI number?

The NPI number for Fairfax Dental Esthetics is 1790349801. It was assigned to this organization in the NPPES registry on April 24, 2019.

Q: What is Fairfax Dental Esthetics's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since April 24, 2019

9621 FAIRFAX BLVD., FAIRFAX, VA 22031(703) 279-3400(703) 272-7726 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fairfax Dental Esthetics NPPES

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

FAIRFAX DENTAL ESTHETICS (NPI 1790349801) is a healthcare organization registered as a dentist in Fairfax, Virginia and active in the NPI registry since April 2019. The organization lists Sanae Bouallali-berrada, Dds/owner, as its authorized official.

NPPES Registry Identity

NPI1790349801

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameFAIRFAX DENTAL ESTHETICS

Location Address9621 FAIRFAX BLVD.Fairfax, VA 22031

Mailing Address9621 Fairfax Blvd.Fairfax, VA 22031 · (703) 279-3400 · Fax (703) 272-7726

Phone(703) 279-3400

Fax(703) 272-7726

Organization SubpartNo

Authorized OfficialSanae Bouallali-berradaDds/owner · (703) 279-3400

Enumeration DateApril 24, 2019

✔ NPI 1790349801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

9621 FAIRFAX BLVD., Fairfax, VA 22031

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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 Fairfax Dental Esthetics's NPI number?

The NPI number for Fairfax Dental Esthetics is 1790349801. It was assigned to this organization in the NPPES registry on April 24, 2019.

Where is Fairfax Dental Esthetics located?

Fairfax Dental Esthetics is located at 9621 Fairfax Blvd., Fairfax, VA 22031. The listed phone number is (703) 279-3400.

What is Fairfax Dental Esthetics's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Fairfax Dental Esthetics was last updated on April 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.