| Shaden Dental Group Pllc | |
|
11150 Fairfax Blvd Ste 400 Fairfax VA 22030-5066 | |
| (703) 679-8042 | |
| Not Available |
| Full Name | Shaden Dental Group Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11150 Fairfax Blvd Ste 400, Fairfax, Virginia |
| Authorized Official Name and Position | Shaden Alfaqih (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7036798042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaden Dental Group Pllc 3794 Rainier Dr Fairfax VA 22033-2990 Ph: (703) 679-8042 | Shaden Dental Group Pllc 11150 Fairfax Blvd Ste 400 Fairfax VA 22030-5066 Ph: (703) 679-8042 |
| NPI Number | 1215863725 |
|---|---|
| Provider Enumeration Date | 06/22/2026 |
| Last Update Date | 06/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215863725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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Naturadent, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9508a Lee Hwy, Fairfax, VA 22031 Phone: 215-870-6186 Fax: 703-652-2513 | |
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Johnny K. Nam, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9561 Braddock Rd, Fairfax, VA 22032 Phone: 703-323-6500 | |
Lets Smile Ortho Fairfax Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4210 Fairfax Corner Ave W Ste 245, Fairfax, VA 22030 Phone: 818-533-8911 | |
Mazin S. Alayssami Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11725 Route 29, Fairfax, VA 22030 Phone: 571-918-8237 |