Organization · Type 2 NPI

Northern Virginia Oral and Facial Surgery, LLC

Oral and Maxillofacial Surgery Clinic/Center · Fairfax, VA

NPI number 1831526995 Active

Practice location

4211 Fairfax Corner Ave E Ste 235
Fairfax, VA 22030-8623

Fax (703) 449-9888

Mailing address

4211 Fairfax Corner Ave E, Suite 235
Fairfax, VA 22030-8622

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112X0401413939 (VA)

Oral and Maxillofacial Surgery Clinic/Center: 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.

Another provider at this address

About NPI 1831526995

Northern Virginia Oral and Facial Surgery, LLC's National Provider Identifier is 1831526995, issued on Oct 3, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Fairfax, VA. The record was last updated on Mar 24, 2025.