OrganizationActive
Fairfax Dentistry, PLLC
NPI 1710496294 · General Practice Dentistry · Fairfax, VA
Provider details
- NPI number
- 1710496294
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Samuel Ham, Owner/Dentist(703) 691-2221
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11351 Random Hills Rd Ste 102
Fairfax, VA 22030-6081
Phone: (703) 691-2221
Fax: (703) 691-3215
Street-level locationGet directions
Mailing address
11351 Random Hills Rd Ste 102
Fairfax, VA 22030-6081
Other names (DBA / former)
- Former legal business name
- Samuel S. Ham, DDS, PC
Registry dates
- Enumerated
- 2017-09-27
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.