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

Aesthetic Dermatology and Mohs Surgery, LLC

Organization Dermatology Physician · NPI 1477337640

Aesthetic Dermatology and Mohs Surgery, LLC is a Dermatology Physician in Fairfax, Virginia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2826 Old Lee Hwy Ste 150
Fairfax, VA 22031-4323
Phone: (571) 529-5600
Fax: (571) 529-5656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1477337640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adam Tinklepaugh — Dermatologist/Owner · (571) 529-5600
NPI enumeratedAugust 21, 2023
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address2826 Old Lee Hwy Ste 150, Fairfax, VA 22031-4323

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