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

Fair Oaks Smiles Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1508716838

Fair Oaks Smiles Pediatric Dentistry is a Pediatric Dentistry in Fairfax, Virginia. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4001 Fair Ridge Dr Ste 205
Fairfax, VA 22033-2917
Phone: (703) 589-9962
Fax: (703) 831-3773
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1508716838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raisa Reina — Om · (703) 986-8456
NPI enumeratedJanuary 28, 2026
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing address4001 Fair Ridge Dr Ste 205, Fairfax, VA 22033-2917

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