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

Fairfax City Dentist, PLC

Organization Dentist · NPI 1265369946

Fairfax City Dentist, PLC is a Dentist in Fairfax, Virginia. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3929 Blenheim Blvd Ste 91D
Fairfax, VA 22030-2421
Phone: (703) 385-1617
Fax: (703) 865-7711
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1265369946
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vladyslav Ovcharenko — Owner · (703) 385-1617
NPI enumeratedMay 6, 2026
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing address3929 Blenheim Blvd Ste 91d, Fairfax, VA 22030-2421

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