Fairfax Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

0401410745 Issued in VA

Legal business name

FAIRFAX DENTAL CENTER

Practice address

4000 Virginia St
Fairfax, VA 22032-1047

Phone

(703) 273-1443

Fax

(703) 273-9186

NPI assigned

May 9, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Hague

Title

Office Manager

Phone

(703) 273-1443

Specialties & licenses 1

Addresses

Tax ID family

Fairfax Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Yolonda L Weaver DDS PC

  dba Fairfax Dental Center

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1588098354
  NPD tax ID

Locations

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1245766484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 VIRGINIA ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321047",
            "telephone_number": "703-273-1443",
            "fax_number": "703-273-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 VIRGINIA ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321047",
            "telephone_number": "703-273-1443",
            "fax_number": "703-273-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-09",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "HAGUE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-273-1443",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairfax Convenient Care LLC
• Fairfax Counseling Services, LLC
• Fairfax County Public School
• Fairfax County, Virginia (Fairfax-Falls Church Community Services Board)
• Fairfax County, Virginia (Fairfax Falls Church Community Services Board - DD Services)
• Fairfax Dental Esthetics
• Fairfax Dental Partners, PC (Nova Dental Partners)
• Fairfax Dentistry, PLLC
• Fairfax Endoscopy Center LLC
• Fairfax Eye Associates Inc

• Dentist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.