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

Fairfax ENT & Facial Plastic Surgery, PC

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

Fairfax ENT & Facial Plastic Surgery, PC is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician 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.

See every abbreviation used in this directory →

Practice location Address checks out

8120 Gatehouse Rd #3
Falls Church, VA 22042-1204
Phone: (703) 573-3687
Fax: (703) 204-0114
Show map & directions

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