Fairfax Oral and Maxillofacial Surgery PC
NPI 1710907134ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Fairfax, VA
Dentist, Oral and Maxillofacial Surgery in Fairfax, Virginia, registered in NPPES in July 2006. The authorized official on file is Julia M. Spradlin, Administrator.
Overview
| NPI | 1710907134 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2006 |
| Last updated in NPPES | Apr 27, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
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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