1. Home
  2. Directory
  3. Virginia
  4. Falls Church
  5. Otolaryngology
  6. NPI Profile

FAIRFAX ENT & FACIAL PLASTIC SURGERY, PC
NPI 1720259054
Otolaryngology - Plastic Surgery within the Head & Neck in Falls Church, VA

Active since March 14, 2008
8120 GATEHOUSE RD, #3, FALLS CHURCH, VA 22042(703) 573-3687(703) 204-0114 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fairfax Ent & Facial Plastic Surgery, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRFAX ENT & FACIAL PLASTIC SURGERY, PC (NPI 1720259054) is a healthcare organization registered as a plastic surgery within the head & neck in Falls Church, Virginia and active in the NPI registry since March 2008. The organization lists Laurence R O'halloran, President, as its authorized official.

NPPES Registry Identity

NPI1720259054
Entity TypeOrganization
Primary Taxonomy207YX0007X
Legal Business NameFAIRFAX ENT & FACIAL PLASTIC SURGERY, PC
Location Address8120 GATEHOUSE RD, #3Falls Church, VA 22042-1204
Mailing Address8120 Gatehouse Rd, #3Falls Church, VA 22042-1204 · (703) 573-3687 · Fax (703) 204-0114
Phone(703) 573-3687
Fax(703) 204-0114
Organization SubpartNo
Authorized OfficialLaurence R O'halloranPresident · (703) 573-3687
Enumeration DateMarch 14, 2008
Last NPPES UpdateJune 15, 2016
✔ NPI 1720259054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in VA · 0101051134
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
8120 GATEHOUSE RD, Falls Church, VA 22042
Open in Google Maps ↗

Other Identifiers 2

Medicare PINE58500VA
Medicare UPINH86226VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH BLANK M.D.
Otolaryngology
8120 GATEHOUSE RD
FALLS CHURCH, VA 22042
Fairfax County (703) 534-3314
LAURA CARTER AUD
Audiologist-Hearing Aid Fitter
8120 GATEHOUSE RD, FIRST FLOOR
FALLS CHURCH, VA 22042
Fairfax County (703) 573-4327
FAIRFAX HEARING CENTER, INC
Audiologist-Hearing Aid Fitter
8120 GATEHOUSE RD, 100
FALLS CHURCH, VA 22042
Fairfax County (703) 204-2771
MISS EUGENIA MARINO
Audiologist
8120 GATEHOUSE RD, #1
FALLS CHURCH, VA 22042
Fairfax County (703) 534-4344

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairfax Ent & Facial Plastic Surgery, PC's NPI number?

The NPI number for Fairfax Ent & Facial Plastic Surgery, PC is 1720259054. It was assigned to this organization in the NPPES registry on March 14, 2008.

Where is Fairfax Ent & Facial Plastic Surgery, PC located?

Fairfax Ent & Facial Plastic Surgery, PC is located at 8120 Gatehouse Rd #3, Falls Church, VA 22042. The listed phone number is (703) 573-3687.

What is Fairfax Ent & Facial Plastic Surgery, PC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

When was this NPI record last updated?

The NPPES record for Fairfax Ent & Facial Plastic Surgery, PC was last updated on June 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.