Oral and Facial Surgery Center of Virginia

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

0438000358 Issued in VA

Legal business name

ORAL AND FACIAL SURGERY CENTER OF VIRGINIA

Practice address

3787 Fettler Park Dr Ste A8
Dumfries, VA 22025-1946

Phone

(857) 247-6414

NPI assigned

Dec 28, 2017

Organization subpart

No

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

Authorized official

Name

Hasnain Shinwari, DDSNPI 1295027480

Title

President

Phone

(857) 247-6414

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hasnain Mohammad Shinwari

  • Oral and Maxillofacial Surgery (Dentist)
  • Fredericksburg, VA
  • NPI 1295027480
  NPD (past) Authorized official

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1891201802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3887 FAIRFAX RIDGE RD APT 313",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3787 FETTLER PARK DR STE A8",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251946",
            "telephone_number": "857-247-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND FACIAL SURGERY CENTER OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "SHINWARI",
        "authorized_official_first_name": "HASNAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "857-247-6414",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401415066",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0438000358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Olkaba, DPM
• Lottie Grace Olson-Davidson, PH.D., LPC, LCMHC
• Oma-Home Health Services LLC
• Nnenna Onwunmelu, RN
• Open Thoughts LLC
• Sabine Ruth Owen, PMHNP
• Brittany Renee Palmer
• Parivan Homecare Agency LLC
• Samuel Parkinson
• Judith Elaine Parsley, VA

• Oral and Maxillofacial Surgery Clinic/Center in Dumfries, VA
• Providers in Dumfries, VA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.