Gary Ellenbogen in Vienna - General Practice
Gary Ellenbogen - NPI 1770653495
Gary Ellenbogen is a General Practice in Vienna, Virginia. Gary Ellenbogen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gary Ellenbogen is 1770653495. The last update date is 2013-09-11.
Gary Ellenbogen's current location address is 8100 Boone Blvd, Vienna, Virginia. You can contact this provider via phone number 7037341095 and fax number 7037149330. The mailing address for Gary Ellenbogen is 8100 Boone Blvd, Vienna, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Ellenbogen |
|---|---|
| Address | 8100 Boone Blvd, Vienna, Virginia |
| Phone Number | 7037341095 |
| Fax Number | 7037149330 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1770653495 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2013-09-11 |
Provider Mailing Address Detail
| Address | 8100 Boone Blvd |
|---|---|
| City | Vienna |
| State | Virginia (VA) |
| Post Code | 221822665 |
| Phone Number | 7037341095 |
| Fax Number | 7037149330 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5562 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code issued to Gary Ellenbogen by the Centers for Medicare & Medicaid Services?
The Gary Ellenbogen has been assigned the NPI (National Provider Identifier) 1770653495 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Gary Ellenbogen's physical address?
The Gary Ellenbogen is physically located at 8100 Boone Blvd, in the city of Vienna, VA, with the postal code 221822665.
What is Gary Ellenbogen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gary Ellenbogen is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
When did the Gary Ellenbogen receive its 1770653495?
The Gary Ellenbogen was issued its 1770653495 on 2006-11-09, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Gary Ellenbogen most recently updated or revised?
The details related to Gary Ellenbogen, including its address, specialty, and other relevant information, were last updated or revised on 2013-09-11.
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