FAIRFAX DENTAL ESTHETICS (NPI# 1790349801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790349801 |
| Entity Type | Organization |
| Organization Name | FAIRFAX DENTAL ESTHETICS |
| Practice Address |
9621 Fairfax Blvd. Fairfax VA 22031 |
| Practice Telephone | 7032793400 |
| Practice Fax Number | 7032727726 |
| Mailing Telephone | 7032793400 |
| Mailing Fax Number | 7032727726 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Authorized Official Name | SANAE BOUALLALI-BERRADA (DDS/OWNER) |
| Authorized Official Telephone | 7032793400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
9621 FAIRFAX BLVD. |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| 1669976221 | Fairfax Family Life Behavioral Health, LLC | Psychiatry & Neurology | Fairfaxpark Office Plaza, 9512 B Lee Highway, Fairfax, VA 22031 | 2018-03-20 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285293209 | Elham Dehyar | Dentist | 12989 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5177 | 2019-06-12 |
| 1902360068 | Fairfax Advanced Dentistry, P.C. | Dentist | 3930 Pender Dr Ste 150, Fairfax, VA 22030-0986 | 2019-01-23 |
| 1417339243 | Deepti Sareen | Dentist | 4473 Market Commons Dr, Fairfax, VA 22033-6033 | 2015-06-29 |
| 1720467368 | Vu and Associates Dental P.c | Dentist | 10622 Regent Park Ct, Fairfax, VA 22030-4209 | 2015-05-28 |
| 1841697356 | Aly Elgeddawi | Dentist | 8303 Arlington Blvd., Suite #104, Fairfax, VA 22031 | 2014-11-26 |
| 1003226655 | Kim Quy Do Dds LLC | Dentist | 8303 Arlington Blvd Ste 101, Fairfax, VA 22031-2903 | 2014-05-05 |
| 1588913172 | Noelle G Dunn | Dentist | 4323 Argonne Dr, Fairfax, VA 22032-1406 | 2012-08-29 |
| 1447506019 | Erene I. Iskander | Dentist | 4565 Whittemore Pl, Fairfax, VA 22030-6272 | 2012-08-01 |
| 1417214396 | Korosh Eric Armakan | Dentist | 10611 Braddock Rd, Dentistry for Children, Fairfax, VA 22032-2201 | 2012-04-18 |
| 1518268861 | Koh & Associates, Dds, P.C. | Dentist | 10721 Main St Ste 100, Fairfax, VA 22030-6913 | 2010-11-03 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.