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

Fairfax Dentistry, PLLC

Organization General Practice Dentistry · NPI 1710496294

Fairfax Dentistry, PLLC is a General Practice Dentistry in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2017.

Licensed in
VA
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11351 Random Hills Rd Ste 102
Fairfax, VA 22030-6081
Phone: (703) 691-2221
Fax: (703) 691-3215
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (VA)

Record details

NPI number1710496294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Ham — Owner/Dentist · (703) 691-2221
Other names Samuel S. Ham, Dds, Pc
NPI enumeratedSeptember 27, 2017
Last updated in NPPESJuly 21, 2022
Mailing address11351 Random Hills Rd Ste 102, Fairfax, VA 22030-6081

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