FAIRFAX PERIODONTAL AND IMPLANT CENTER PLLC NPI 1932971850

NPI Information

NPI: 1932971850
Provider Name: FAIRFAX PERIODONTAL AND IMPLANT CENTER, PLLC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
8622 ROUTE 29 STE D
FAIRFAX, VA
ZIP 22031
Phone: (703) 491-2974
Get Directions

FAIRFAX PERIODONTAL AND IMPLANT CENTER, PLLC is a periodontics dentist in Fairfax, VA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. FAIRFAX PERIODONTAL AND IMPLANT CENTER, PLLC NPI is 1932971850. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8622 ROUTE 29 STE D
FAIRFAX, VA
ZIP 22031-148
Phone: (703) 491-2974

The provider's authorized official is Ahmad Hawasli .
The authorized official title is Owner/dentist and has the following contact phone number (703) 491-2974.

The enumeration date for this NPI number is 10/24/2023 and was last updated on 10/24/2023.

Taxonomy Codes

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0300X	Dentist	Periodontics			Yes

What is NPI?

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: 5/5/2024

NPI Synchronization or Removal

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