Individual provider · Type 1 NPI
Isaac So, DDS
Oral and Maxillofacial Surgery (Dentist) · Fairfax, VA
NPI number
1306424304
Active
Practice location
4210 Fairfax Corner Ave W Ste 215
Fairfax, VA 22030-8627
Mailing address
4460 Black Ironwood Dr
Fairfax, VA 22030-9068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401419807 (VA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 0438000553 (VA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.
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About NPI 1306424304
Isaac So, DDS's National Provider Identifier is 1306424304, issued on Mar 31, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fairfax, VA. The record was last updated on Jul 6, 2026.