Fair Lakes Dental Services is a Dental Clinic in Fairfax, Virginia. It is located at 11166 Fairfax Blvd Ste 400, Fairfax, VA and its contact number is 703-691-3015. The authorized person for Fair Lakes Dental Services is Dr. Keith Jonathan Wilson
who is Owner President of the clinic and their contact number is 703-691-3015. The primary license number for Fair Lakes Dental Services is 0401008681 (General Practice) in Virginia. Fair Lakes Dental Services 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:
Fair Lakes Dental Services Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
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:
Dr. Keith Jonathan Wilson
Position:
Owner President
Contact Number:
703-691-3015
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 Fair Lakes Dental Services clinic are as mentioned below.
NPI Number:
1154447589
NPI Enumeration Date:
21 Mar, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fair Lakes Dental Services are as mentioned below.
Specialization
License Number
State
Status
General Practice
0401008681
Virginia
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Patients can reach Fair Lakes Dental Services at 11166 Fairfax Blvd Ste 400, Fairfax, Virginia or can call to book an appointment on 703-691-3015. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.