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

Fairfax Orthodontic Associates, PLLC

Organization Preferred Provider Organization · NPI 1497979504

Fairfax Orthodontic Associates, PLLC is a Preferred Provider Organization in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12011 Lee Jackson Memorial Hwy
Fairfax, VA 22033-3310
Phone: (703) 691-9061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 0401007980 (VA)

Record details

NPI number1497979504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lucy McCabe — Administrator · (703) 719-5828
NPI enumeratedApril 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033-3310

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