NPI: 1710496294
Provider Name: FAIRFAX DENTISTRY, PLLC
Former Legal Business Name: SAMUEL S. HAM, DDS, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
11351 RANDOM HILLS RD STE 102
FAIRFAX, VA
ZIP 22030
Phone: (703) 691-2221
Get Directions
FAIRFAX DENTISTRY, PLLC is a general practice dentist in Fairfax, VA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FAIRFAX DENTISTRY, PLLC NPI is 1710496294. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Samuel S. Ham, Dds, Pc.
The provider's business location address is:
11351 RANDOM HILLS RD STE 102
FAIRFAX, VA
ZIP 22030-081
Phone: (703) 691-2221
Fax: (703) 691-3215
The provider's authorized official is Samuel Saeho Ham .
The authorized official title is Owner/dentist and has the following contact phone number (703) 691-2221.
The enumeration date for this NPI number is 9/27/2017 and was last updated on 7/21/2022.