Shaden Dental Group PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SHADEN DENTAL GROUP PLLC

Practice address

11150 Fairfax Blvd Ste 400
Fairfax, VA 22030-5066

Phone

(703) 679-8042

NPI assigned

Jun 22, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shaden Alfaqih, DDS

Title

Pediatric Dentist

Phone

(703) 679-8042

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1215863725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3794 RAINIER DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332990",
            "telephone_number": "703-679-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 FAIRFAX BLVD STE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305066",
            "telephone_number": "703-679-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADEN DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "ALFAQIH",
        "authorized_official_first_name": "SHADEN",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "703-679-8042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Seymore, MOTR/L
• Mojgan Shaafi, DDS
• Dwana Rashad Shabazz, M.D.
• Zakee Omar Shabazz, DPM
• Raafat Ali Shabti, MD
• Shady Grove Reproductive Science Center PC
• Danielle A. Shafer, DO
• Amisha Shah
• Aneesah Shah
• Ankit A Shah, M.D.

• Pediatric Dentistry in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.