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

Premiere Center for Cosmetic Surgery

Organization Plastic Surgery Physician · NPI 1811185481

Premiere Center for Cosmetic Surgery provides Plastic Surgery Physician services in Fairfax, Virginia. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

3930 Pender Dr Ste 120
Fairfax, VA 22030-0985
Phone: (703) 752-6608
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1811185481
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Trautman — Practice Manager · (813) 305-9100
NPI enumeratedOctober 9, 2007
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023
Mailing address2419 W Kennedy Blvd Ste 101, Tampa, FL 33609-3481

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