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

Fairfax City Dentist, PLC

Organization Dentist · NPI 1265369946

Fairfax City Dentist, PLC provides Dentist services in Fairfax, Virginia. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3929 Blenheim Blvd Ste 91D
Fairfax, VA 22030-2421
Phone: (703) 385-1617
Fax: (703) 865-7711
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1265369946
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vladyslav Ovcharenko — Owner · (703) 385-1617
NPI enumeratedMay 6, 2026
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing address3929 Blenheim Blvd Ste 91d, Fairfax, VA 22030-2421

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