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

Fairfax Oral and Maxillofacial Surgery PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1710907134

Fairfax Oral and Maxillofacial Surgery PC is an Oral and Maxillofacial Surgery (Dentist) in Fairfax, Virginia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10530 Rosehaven St Ste 111
Fairfax, VA 22030-2840
Phone: (703) 385-5777
Fax: (703) 591-5386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1710907134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julia Spradlin — Administrator · (703) 385-5777
NPI enumeratedJuly 20, 2006
Last updated in NPPESApril 27, 2009
Mailing address10530 Rosehaven St, Suite 111, Fairfax, VA 22030-2840

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