KEITH J WILSON DDS PC 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. KEITH J WILSON DDS PC NPI is 1154447589. The provider is registered as an organization entity type and is a multiple single specialty group. The provider Is Doing Business As Fair Lakes Dental Services.
The provider's business location address is:
11166 FAIRFAX BLVD STE 400 FAIRFAX, VA ZIP 22030-017 Phone: (703) 691-3015 Fax: (703) 691-3016
The provider's authorized official is Keith Jonathan Wilson . The authorized official title is Owner President and has the following contact phone number (703) 691-3015.
The enumeration date for this NPI number is 3/21/2007 and was last updated on 8/22/2020.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
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