MEDICARE: FOX FAMILY DENTISTRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1568306660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOX FAMILY DENTISTRY

Provider Business Mailing Address
First Line	:	5200 LYNGATE CT
Second Line	:
City	:	BURKE
State	:	VA
Zip	:	22015
Country	:	US
Telephone Number	:	703-978-5253
Fax Number	:	703-978-1624

Provider Business Practice Location Address
First Line	:	5200 LYNGATE CT
Second Line	:
City	:	BURKE
State	:	VA
Zip	:	22015
Country	:	US
Telephone Number	:	703-978-5253
Fax Number	:	703-978-1624

Authorized Official
Title or Position	:	OWNER
Name	:	MR. LAWEENCE T FOX
Credential	:	DDS
Telephone Number	:	703-978-5253

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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Directions to “FOX FAMILY DENTISTRY ” Practice Location

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