Merrifield Dental Group PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MERRIFIELD DENTAL GROUP PLLC

Practice address

2810 Old Lee Hwy Ste 200a
Fairfax, VA 22031-4376

Phone

(703) 945-2200

NPI assigned

Mar 15, 2023

Last updated

Dec 18, 2023By 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

Geith Kallas, DDS

Title

Owner

Phone

(703) 622-3300

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1790486827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 OLD COURTHOUSE RD STE A",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 OLD LEE HWY STE 200A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314376",
            "telephone_number": "703-945-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIFIELD DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "KALLAS",
        "authorized_official_first_name": "GEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-622-3300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin B Merlino, M.D.
• Joseph Mernagh, M.S.
• Karla Astrid Merola, LPTA
• Merrifield Chiropractic Center, Inc.
• Merrifield Dental Associates
• Merrifield Family Chiropractic LLC
• Merrifield OB/GYN. P.C.
• Merrifield Optometry, LLC (Myeyedr)
• Tammy Ann Merriman, OTL
• Susan M Mersch, CNM

• 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 Dec 18, 2023; 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.