Nora Al-Faysale, DDS
Individual provider Active NPI Dentist · Fairfax, VA
NPI 1326575739 · NPPES record last updated Jun 4, 2024
Key facts
- NPI
- 1326575739
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 0401415612 (VA)
- Practice address
- 4000 Virginia St
Fairfax, VA 22032-1047 - Phone
- (703) 273-1443
- NPI assigned
- May 16, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401415612 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nora M Alfaysale DDS PLLC | Current | Accepting new patients |
Locations
4000 Virginia St
Fairfax, VA 22032
Phone (703) 246-1507
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401415612 | VA | Yes |
Addresses
Primary practice location
4000 Virginia St
Fairfax, VA 22032-1047
Mailing address
4000 Virginia St
Fairfax, VA 22032-1047
Phone (832) 623-0027
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.