Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fairfax ENT & Facial Plastic Surgery, PC

Organization Plastic Surgery within the Head & Neck (Otolaryngology) Physician · NPI 1720259054

Fairfax ENT & Facial Plastic Surgery, PC provides Plastic Surgery within the Head & Neck (Otolaryngology) Physician services in Falls Church, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8120 Gatehouse Rd #3
Falls Church, VA 22042-1204 Not confirmed with CMS for 10 years — call before visiting
Phone: (703) 573-3687
Fax: (703) 204-0114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery within the Head & Neck (Otolaryngology) Physician (primary) Taxonomy 207YX0007X · Licence 0101051134 (VA)

Record details

NPI number1720259054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laurence O'Halloran — President · (703) 573-3687
NPI enumeratedMarch 14, 2008
Last updated in NPPESJune 15, 2016
Mailing address8120 Gatehouse Rd, 3, Falls Church, VA 22042-1204