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Dr Jaw, Pllc
Oral and Maxillofacial Surgery (Dentist) in Fairfax, Virginia
NPI 1396486940

Dr Jaw, Pllc is a Oral and Maxillofacial Surgery (Dentist) based in Fairfax, VA and is specialized in Oral and Maxillofacial Surgery. Dr Jaw, Pllc practices in Fairfax, VA. The NPI Number for Dr Jaw, Pllc is 1396486940 and holds a License No. (Virginia).

The current practice location address for Dr Jaw, Pllc is 4210 Fairfax Corner Ave W Ste 201A, Fairfax, VA and can be reached out via phone at 540-225-2259 and via fax at 540-225-2253.

Location: 4210 Fairfax Corner Ave W Ste 201A, Fairfax, VA, 22030-8619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396486940
Provider Name
Dr Jaw, Pllc
Credential
Provider Entity Type
Organization
Address
4210 Fairfax Corner Ave W Ste 201A, Fairfax, VA, 22030-8619
Phone Number
540-225-2259
Fax Number
540-225-2253
Provider Enumeration Date
04/06/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0401414186 05 VA
institution
Provider Business Practice Location Address Details
Address
4210 Fairfax Corner Ave W Ste 201A
City
Fairfax
State
Virginia
Zip
22030-8619
Phone Number
540-225-2259
Fax Number
540-225-2253
person
Provider Business Mailing Address Details
Address
4210 Fairfax Corner Ave W Ste 201A
City
Fairfax
State
Virginia
Zip
22030-8619
Phone Number
540-225-2259
Fax Number
540-225-2253
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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