Organization · Type 2 NPI
Let's Smile of Fairfax PLLC
Point of Service · Fairfax, VA
NPI number
1386910529
Active
Practice location
4210 Fairfax Corner Ave W, Suite 245
Fairfax, VA 22030-8619
Fax (703) 691-8877
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 0401007980 (VA) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Another provider at this address
About NPI 1386910529
Let's Smile of Fairfax PLLC's National Provider Identifier is 1386910529, issued on Mar 30, 2012. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Fairfax, VA. The record was last updated on Mar 30, 2012.