Organization · Type 2 NPI
Northern Virginia Center
Oral and Maxillofacial Surgery (Dentist) · Fairfax, VA
NPI number
1639259773
Active
Practice location
4211 Fairfax Corner East Ave, Suite # 235
Fairfax, VA 22030
Fax (703) 449-9888
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 0401410440 (VA) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 0438000163 (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.
6 other providers at this address
- Nova Spine & Injury Center, Inc.Chiropractor Fairfax, VA NPI 1902911290
- Pediatric Partners of Northern VirginiaPediatrics Physician Fairfax, VA NPI 1811168081
- Virginia Diabetes,obesity and Endocrinology Center, LLCSpecialist Fairfax, VA NPI 1437353604
- Katherine Kruse, MDPediatrics Physician Fairfax, VA NPI 1285807719
- Maryam Soumai, MDInternal Medicine Physician Fairfax, VA NPI 1194751586
- Robin Nicole Durr, FNP-BCFamily Nurse Practitioner Fairfax, VA NPI 1912146226
Other oral and maxillofacial surgery (dentist) providers in Fairfax
About NPI 1639259773
Northern Virginia Center's National Provider Identifier is 1639259773, issued on Oct 16, 2006. 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 May 25, 2011.