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Fair Oaks Smiles Pediatric Dentistry

NPI 1508716838ActiveOrganization· Dentist, Pediatric Dentistry· Fairfax, VA

Dentist, Pediatric Dentistry in Fairfax, Virginia, registered in NPPES in January 2026. The authorized official on file is Raisa Reina, Om.

Overview

NPI1508716838
StatusActive
Entity typeOrganization
NPI issuedJan 28, 2026
Last updated in NPPESJan 28, 2026
Certified by providerJan 28, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Pediatric Dentistry Primary1223P0221X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other pediatric dentists in Fairfax

All 18 pediatric dentists in Fairfax · All pediatric dentists in Virginia