Provider Demographics
NPI:1548159270
Name:AL-FAKHRI, OLA BASIL (DDS)
Entity type:Individual
Prefix:DR
First Name:OLA
Middle Name:BASIL
Last Name:AL-FAKHRI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7121 LEESBURG PIKE STE 204
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2361
Mailing Address - Country:US
Mailing Address - Phone:703-237-5600
Mailing Address - Fax:
Practice Address - Street 1:7121 LEESBURG PIKE STE 204
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-2361
Practice Address - Country:US
Practice Address - Phone:703-237-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014195861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty