Fairfax City Dentist, PLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FAIRFAX CITY DENTIST, PLC

Practice address

3929 Blenheim Blvd Ste 91D
Fairfax, VA 22030-2421

Phone

(703) 385-1617

Fax

(703) 865-7711

NPI assigned

May 6, 2026

Last updated

May 6, 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

Dr. Vladyslav OvcharenkoNPI 1891926697

Title

Owner

Phone

(703) 385-1617

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.

• Vladyslav Ovcharenko, D.D.S.

  • Dentist
  • Fairfax, VA
  • NPI 1891926697
  NPD Authorized official

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1265369946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 BLENHEIM BLVD STE 91D",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302421",
            "telephone_number": "703-385-1617",
            "fax_number": "703-865-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 BLENHEIM BLVD STE 91D",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302421",
            "telephone_number": "703-385-1617",
            "fax_number": "703-865-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX CITY DENTIST, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "OVCHARENKO",
        "authorized_official_first_name": "VLADYSLAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-385-1617",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fairfax Convenient Care LLC
• Fairfax Counseling Services, LLC
• Fairfax County Public School

• 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 6, 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.