is a Dental Clinic in Fairfax, Virginia. It is located at 10611 Judicial Dr, Fairfax, VA and its contact number is 703-385-0303. The authorized person for is Ashley K Rowland
who is Office Manager of the clinic and their contact number is 703-385-0303. The primary license number for is 5454 (General Practice) in Virginia. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
10611 Judicial Dr, Fairfax, Virginia, 22030-5165
Phone:
703-385-0303
Fax:
703-385-1445
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Ashley K Rowland
Position:
Office Manager
Contact Number:
703-385-0303
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1871584110
NPI Enumeration Date:
04 Nov, 2005
NPI Last Update On:
16 Sep, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
5454
Virginia
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
001382
Medicaid
Virginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10611 Judicial Dr, Fairfax, Virginia
Zip:
22030-5165
Phone Number:
703-385-0303
Fax Number:
703-385-1445
Patients can reach at 10611 Judicial Dr, Fairfax, Virginia or can call to book an appointment on 703-385-0303. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.