Maloy Lynn Van Faussien, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

0402003803 Issued in VA

Practice address

7400 Granby St Ste B
Norfolk, VA 23505-3436

Phone

(757) 587-7400

NPI assigned

Aug 18, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Maloy Lynn Heise Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1841177466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 GRANBY ST STE B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053436",
            "telephone_number": "757-587-7400",
            "fax_number": "757-675-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 GRANBY ST STE B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053436",
            "telephone_number": "757-587-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN FAUSSIEN",
        "first_name": "MALOY",
        "middle_name": "LYNN",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": "0402003803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH PROFESSIONS",
            "identifier": "0402003803",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALOY",
            "last_name": "HEISE",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Dental Hygienist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Dental Hygienist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.