Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fair Oaks Smiles Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1508716838

Fair Oaks Smiles Pediatric Dentistry provides Pediatric Dentistry in Fairfax, Virginia. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4001 Fair Ridge Dr Ste 205
Fairfax, VA 22033-2917
Phone: (703) 589-9962
Fax: (703) 831-3773
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1508716838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raisa Reina — Om · (703) 986-8456
NPI enumeratedJanuary 28, 2026
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing address4001 Fair Ridge Dr Ste 205, Fairfax, VA 22033-2917

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