NORTHERN VIRGINIA CENTER FOR ORAL AND FACIAL SURGERY (NPI# 1831526995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831526995 |
Entity Type | Organization |
Organization Name | NORTHERN VIRGINIA CENTER FOR ORAL AND FACIAL SURGERY |
Other Organization Name | NORTHERN VIRGINIA CENTER FOR ORAL, FACIAL AND IMPLANT SURGERY |
Practice Address |
4211 Fairfax Corner Ave E Suite 235 Fairfax VA 22030-8622 |
Practice Telephone | 7034498888 |
Practice Fax Number | 7034499888 |
Mailing Telephone | 7034498888 |
Mailing Fax Number | 7034499888 |
Enumeration Date | 2013-10-03 |
Last Update Date | 2013-10-03 |
Authorized Official Name | DR. HUY TRINH (DIRECTOR) |
Authorized Official Telephone | 7034498888 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
0401413939 | VA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Northern Virginia Center for Oral, Facial and Implant Surgery | Doing Business As Name - Organization |
Street Address |
4211 FAIRFAX CORNER AVE E SUITE 235 |
City | FAIRFAX |
State | VA |
Zip Code | 22030-8622 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326137712 | Stephanie James Harris | Physical Therapist | 4211 Fairfax Corner Ave E, Suite 200, Fairfax, VA 22030-8622 | 2006-10-12 |
1407399058 | Tahimina Popal | Nurse Practitioner | 4211 Fairfax Corner Ave E, Suite 230, Fairfax, VA 22030-8622 | 2016-11-30 |
1598958142 | Jade Tran | Dentist | 4211 Fairfax Corner Ave E, Suite 235, Fairfax, VA 22030-8622 | 2007-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
Find all providers in zip 22030 |
Taxonomy Code | 261QS0112X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225425465 | Integrative Implant Services, LLC | Clinic/Center | 6845 Elm. St., Ste. 225, Mclean, VA 22102-3834 | 2015-04-24 |
1235424557 | Fredericksburg Regional Oral Surgery Center Inc | Clinic/Center | 210 Executive Center Pkwy, Fredericksburg, VA 22401-3107 | 2011-06-15 |
1720006661 | Christopher E. Bonacci Dds Md PC | Clinic/Center | 361 Maple Ave W, Suite 200, Vienna, VA 22180-4304 | 2006-07-18 |
1538629134 | Eric J Smith Dds PC | Clinic/Center | 22525 Timberlake Rd, Lynchburg, VA 24502-7307 | 2019-03-21 |
1922579796 | Eric J Smith Dds PC | Clinic/Center | 22525 Timberlake Rd, Lynchburg, VA 24502-7307 | 2018-12-05 |
1124572417 | Isle of Wight Family & Cosmetic Dentistry PC | Clinic/Center | 4053 Taylor Rd, Suite J, Chesapeake, VA 23321-5537 | 2016-08-04 |
1386050532 | Tristate Oral Surgery Plc | Clinic/Center | 5659 Columbia Pike, Suite 100, Falls Church, VA 22041-2878 | 2014-07-09 |
1215292255 | Paul E. Prillaman, IIi, Dds, Plc | Clinic/Center | 905 Battlefield Blvd N, 101, Chesapeake, VA 23320-4875 | 2012-07-05 |
1891068417 | Middle Peninsula Oral and Facial Surgery LLC | Clinic/Center | 7547 Medical Dr, Gloucester, VA 23061-4351 | 2012-02-13 |
1386818136 | Drs. Gold and Abbott, Ltd. | Clinic/Center | 1940 Braeburn Dr, Salem, VA 24153-7383 | 2008-04-14 |
Find all providers with the same taxonomy |
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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.