Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boulevard Dental Clinic

Organization Dental Clinic/Center · NPI 1639346182

Boulevard Dental Clinic provides Dental Clinic/Center services in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008

Practice location Address checks out

8301 Arlington Blvd Ste #403
Fairfax, VA 22031-2902 Not confirmed with CMS for 18 years — call before visiting
Phone: (703) 206-0466
Fax: (703) 206-0479
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 0401008771 (VA)

Record details

NPI number1639346182
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Gaitan — General Dentist · (703) 206-0466
Other names Dr Ricardo M Gaitan Dds/Pc
NPI enumeratedMay 14, 2008
Last updated in NPPESMay 14, 2008
Mailing address8301 Arlington Blvd, Suite #403, Fairfax, VA 22031-2902

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