Northern Virginia Center
NPI 1639259773ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Fairfax, VA
Dentist, Oral and Maxillofacial Surgery in Fairfax, Virginia, registered in NPPES in October 2006. The authorized official on file is Brenda Lee Picente, Practice Manager.
Overview
| NPI | 1639259773 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2006 |
| Last updated in NPPES | May 25, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 0438000163 | VA |
| Dentist | 122300000X | 0401410440 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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