Northern Virginia Center
Northern Virginia Center provides Dentist services in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2006.
- Licensed in
- VA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
4211 Fairfax Corner East Ave Ste # 235Fairfax, VA 22030 Not confirmed with CMS for 15 years — call before visiting
Phone: (703) 449-8888
Fax: (703) 449-9888
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 0438000163 (VA) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 0401410440 (VA) |
Record details
| NPI number | 1639259773 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brenda Picente — Practice Manager · (703) 449-8888 |
| NPI enumerated | October 16, 2006 |
| Last updated in NPPES | May 25, 2011 |
| Mailing address | 4211 Fairfax Corner East Ave, Suite # 235, Fairfax, VA 22030 |
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