FAIRFAX COUNTY DENTAL CLINIC – NPI #1174558258
Clinic/Center

FAIRFAX COUNTY DENTAL CLINIC is an AHC clinic located in FAIRFAX, VA. NPPES has assigned the NPI number 1174558258 to FAIRFAX COUNTY DENTAL CLINIC on July 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FAIRFAX COUNTY DENTAL CLINIC” is a dba name, the actual legal business name for this organization is DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 18 years ago on Jun 18, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAIRFAX COUNTY DENTAL CLINIC below.

NPI Profile for
DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA

NPI Number
1174558258
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA
Doing Business As (dba): FAIRFAX COUNTY DENTAL CLINIC
Primary location
10777 MAIN ST
SUITE 202
FAIRFAX, VA 22030-6903
Phone: (703) 246-8695 Fax:
Mailing address
12000 GOVERNMENT CENTER PKWY
SUITE 552
FAIRFAX, VA 22035-0001
Phone: (703) 324-3360 Fax: (703) 324-4573
Organization Subpart
Yes - FAIRFAX COUNTY DENTAL CLINIC is subpart of another organization.
Authorized Official
ANTHONY GRIFFIN
COUNTY EXECUTIVE
Phone: (703) 324-3360
Updated
Identifiers

Identifiers for FAIRFAX COUNTY DENTAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDVA8450251
MEDICAIDVA8451249
MEDICAIDVA8451231
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 VA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.