FAIRFAXDENTALGROUP


Address: 8316 Arlington Blvd, Fairfax, VA 22031-5207
Phone: 7035606301

FAIRFAXDENTALGROUP (NPI# 1073986568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073986568
Entity Type Organization
Organization Name FAIRFAXDENTALGROUP
Practice Address 8316 Arlington Blvd
Fairfax
VA 22031-5207
Practice Telephone 7035606301
Practice Fax Number 7035601334
Mailing Telephone 7035606301
Mailing Fax Number 7035601334
Enumeration Date 2015-11-05
Last Update Date 2015-11-05
Authorized Official Name DR. MICHAEL GORMAN (DENTIST/OWNER)
Authorized Official Telephone 7038309110
Authorized Official Credential DDS
Is Organization Subpart Y
Parent Organization Name POTOMAC VALLEY DENTAL CARE PLLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Office Location

Street Address 8316 ARLINGTON BLVD
City FAIRFAX
State VA
Zip Code 22031-5207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396744355 Jennifer Ann Quintanilla Physical Therapist 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 2005-07-20
1275179137 Amelia Ellen Pitha Nurse Practitioner 8316 Arlington Blvd, Fairfax, VA 22031-5207 2019-11-25
1508367517 Eric Scarton Physical Therapy Assistant 8316 Arlington Blvd, Fairfax, VA 22031-5207 2018-02-24
1093194300 Mira Wahba Physical Therapist 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 2015-05-20
1568840957 Alliance Rehab and Physical Therapy LLC Physical Therapist 8316 Arlington Blvd, #600, Fairfax, VA 22031-5207 2015-05-18
1861889008 Loudoun Medical Group PC Ophthalmology 8316 Arlington Blvd, Suite 235, Fairfax, VA 22031-5207 2015-04-24
1023405297 Bluemont Plastic Surgery, PC Otolaryngology 8316 Arlington Blvd, Ste 410, Fairfax, VA 22031-5207 2015-04-24
1649517830 Megan Goetz Physical Therapist 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 2013-01-09
1104188978 Kazumi Keener Occupational Therapist 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 2012-06-08
1962770180 Joanne G, Crantz M.d. LLC Internal Medicine 8316 Arlington Blvd, 615, Fairfax, VA 22031-5207 2011-12-02
Find all providers in the same location

Providers in the same zip code

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
1790349801 Fairfax Dental Esthetics Dentist 9621 Fairfax Blvd., Fairfax, VA 22031 2019-04-24
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
Find all providers in zip 22031

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952910358 Erica Vetter Dentist 10525 Braddock Rd Ste 9a, Fairfax, VA 22032-2257 2020-07-31
1902414105 Su Jung Kang Dentist 9661-c Main Street, Fairfax, VA 22031 2020-07-14
1194367623 Ruhee Jaffer Dentist 11213 Lee Hwy Ste A, Fairfax, VA 22030-5698 2019-10-16
1093367310 Gina Genevia Askander Dentist 2810 Old Lee Hwy Ste 200a, Fairfax, VA 22031-4376 2019-07-16
1609436989 Hanwool Kim Dentist 8303 Arlington Blvd Ste 104, Fairfax, VA 22031-2903 2019-06-18
1942776182 Sapphire Dental Pllc Dentist 8622 Lee Hwy, Fairfax, VA 22031-2173 2018-10-15
1689177073 Shamoona Sharif Dentist 11050 Lee Hwy, Fairfax, VA 22030 2018-03-13
1710496294 Fairfax Dentistry, Pllc Dentist 11351 Random Hills Rd Ste 102, Fairfax, VA 22030-6081 2017-09-27
1558886580 Marc Dh Eun Dentist 4511 Plateau Dr, Fairfax, VA 22030-6281 2017-08-10
1639603459 Kouros Hedayati, Dds, Plc Dentist 3545 Chain Bridge Rd Ste 5, Fairfax, VA 22030-2708 2017-04-18
Find all providers in FAIRFAX

Competitor

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City FAIRFAX
Zip Code 22031

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Dataset Information

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.

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