OrganizationActive
Fairfax Dental Esthetics
NPI 1790349801 · Dentist · Fairfax, VA
Fairfax Dental Esthetics is a Dentist organization in Fairfax, VA (NPI 1790349801).
Provider details
- NPI number
- 1790349801
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Sanae Bouallali-Berrada, Dds/Owner(703) 279-3400
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
9621 Fairfax Blvd.
Fairfax, VA 22031
Phone: (703) 279-3400
Fax: (703) 272-7726
Street-level locationGet directions
Mailing address
9621 Fairfax Blvd.
Fairfax, VA 22031
Registry dates
- Enumerated
- 2019-04-24
- Last updated
- 2019-04-24
Frequently asked questions
- What is Fairfax Dental Esthetics's NPI number?
- Fairfax Dental Esthetics's National Provider Identifier (NPI) is 1790349801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairfax Dental Esthetics?
- Fairfax Dental Esthetics is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Fairfax Dental Esthetics located?
- Fairfax Dental Esthetics's practice location on file with NPPES is 9621 Fairfax Blvd., Fairfax, VA 22031.
- What is Fairfax Dental Esthetics's phone number?
- The practice phone number listed in the NPPES registry for Fairfax Dental Esthetics is (703) 279-3400.
- Who is the authorized official for Fairfax Dental Esthetics?
- The authorized official listed on Fairfax Dental Esthetics's NPPES record is Sanae Bouallali-Berrada, Dds/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairfax Dental Esthetics's NPI active?
- Yes — Fairfax Dental Esthetics's NPI (1790349801) is active in the NPPES registry as of the last update on 2019-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.