National Provider Identifier Database

FAIRFAX ORTHODONTIC ASSOCIATES PLLC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

FAIRFAX ORTHODONTIC ASSOCIATES, PLLC
12011 LEE JACKSON MEMORIAL HWY
FAIRFAX, VA22033-3310
Phone: 703-691-9061
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for FAIRFAX ORTHODONTIC ASSOCIATES, PLLC

NPI Number 1497979504
Legal business name
LBN
FAIRFAX ORTHODONTIC ASSOCIATES, PLLC
Authorized official LUCY MCCABE - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 04/12/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0401007980

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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