Dentists of Fair Oaks

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTS OF FAIR OAKS

Practice address

12011 Route 50 Ste 104
Fairfax, VA 22033-3310

Phone

(703) 766-1575

NPI assigned

Jun 30, 2025

Last updated

Jun 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dentists of Fair Oaks

Title

Manager

Phone

(703) 766-1575

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chuck C Joo, D.M.D.

  • Dentist
  • Fairfax, VA
  • NPI 1902923485
  NPD (past)

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1255220836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 ROUTE 50 STE 104",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333310",
            "telephone_number": "703-766-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 ROUTE 50 STE 104",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333310",
            "telephone_number": "703-766-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF FAIR OAKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "FAIR OAKS",
        "authorized_official_first_name": "DENTISTS OF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-766-1575"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Associates of Northern Virginia PLLC (Dental Associates)
• Dental One Associates (Old Dominion) PLLC
• Dental One Associates (Woodson Square), LTD
• Dental Professionals of Virginia, P.C. (Poplar Tree Dental Care)
• Dental Services DDS, PC
• Deborah Ruth Deperio
• Andrew John Itutud Derks, PHYSICIAN ASSISTANT
• Dermatology and Dermatologic Surgery, Inc. (The Center for Dermatology)
• Dermatology of Virginia
• Virginia Marie Deroma, PHD

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.