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

Gary Ellenbogen, DDS

Individual provider General Practice Dentistry · NPI 1770653495

Gary Ellenbogen, DDS is a General Practice Dentistry in Vienna, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

8100 Boone Blvd
Vienna, VA 22182-2665
Phone: (703) 734-1095
Fax: (703) 714-9330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 5562 (VA)

Record details

NPI number1770653495
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESSeptember 11, 2013

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