OrganizationActive
Fairfax Oral and Maxillofacial Surgery PC
NPI 1710907134 · Oral and Maxillofacial Surgery (Dentist) · Fairfax, VA
Provider details
- NPI number
- 1710907134
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Julia Spradlin, Administrator(703) 385-5777
Specialties & taxonomies
Dental Providers
Practice location
10530 Rosehaven St
Suite 111
Fairfax, VA 22030-2840
Phone: (703) 385-5777
Fax: (703) 591-5386
Approximate (ZIP-level) locationGet directions
Mailing address
10530 Rosehaven St
Fairfax, VA 22030-2840
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2009-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.