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

Fair Lakes Dental

Organization General Practice Dentistry · NPI 1548493885

Fair Lakes Dental is a General Practice Dentistry in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2009.

Licensed in
VA
In the registry since
2009

Practice location Address checks out

12989 Fair Lakes Pkwy
Fairfax, VA 22033
Phone: (703) 222-1230
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0401411034 (VA)

Record details

NPI number1548493885
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Dehyar — Owner · (703) 764-0650
NPI enumeratedSeptember 3, 2009
Last updated in NPPESSeptember 3, 2009
Mailing address9534 Burke Road, Burke, VA 22015

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