FAIRFAX ADVANCED DENTISTRY, P.C. (NPI# 1902360068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902360068 |
| Entity Type | Organization |
| Organization Name | FAIRFAX ADVANCED DENTISTRY, P.C. |
| Practice Address |
3930 Pender Dr Ste 150 Fairfax VA 22030-0986 |
| Practice Telephone | 7036509299 |
| Mailing Telephone | 7036509299 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | ALEX OSINOVSKY (OWNER) |
| Authorized Official Telephone | 7038618777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
3930 PENDER DR STE 150 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-0986 |
| 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 | 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 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 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.