Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1386861342 Deactivated / Inactive NPI Male Practitioner

Dr. Jerry Holt Rich , DMD

Dentist - General Practice • Fairfax, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Rich has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 19, 2007
NPI Deactivation Date March 22, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Rich, DMD was a registered Dentist - General Practice practicing in Fairfax, VA. Throughout an active medical career spanning 15 years, Dr. Rich provided care at the practice location at 8301 ARLINGTON BLVD until profile deactivation on 2022-03-22.

Practice Location & Contact Primary Location

Practice Address

8301 Arlington Blvd
Suite 408

Fairfax, VA 220312902

Telephone 7035600312
Fax 7035601509
Associated Practice Facility / Clinic
🏢 Sonus-Usa, Inc. Facility NPI 1962454801

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fairfax, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
130 Specialists

Practicing in Fairfax, VA (3535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401006128

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Carolyn Libert , MSPT

Physical Therapist

NPI 1013939651

Master of Science in Physical Therapy

Dr. Tanya Drummond , DDS

Dentist - General Practice

NPI 1063688554

Doctor of Dental Surgery

NPI 1124102934

Doctor of Medicine (M.D.)

Alexia Iris Carballo

Audiologist-Hearing Aid Fitter

NPI 1134392434
Dr. Hoda Makkawi , MD

General Practice

NPI 1144265216

Doctor of Medicine (M.D.)

Dr. Marcie Weil , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1154309136

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 22, 2022

Record deactivated on March 22, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 8301 ARLINGTON BLVD, SUITE 408, FAIRFAX, VA 220312902 (Tel: 7035600312)

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Updated Business Mailing Address July 08, 2007

Registered at 8301 ARLINGTON BLVD, SUITE 408, FAIRFAX, VA 220312902 (Tel: 7035600312)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JERRY RICH, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #0401006128 in VA)

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Initial NPI Registration & Enumeration April 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386861342
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2007
Last Update: July 08, 2007
Deactivation Date: March 22, 2022

Mailing Address

8301 Arlington Blvd, Suite 408

Fairfax, VA 220312902

Phone: 7035600312

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.