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

Gary Ellenbogen, DDS

Individual provider General Practice Dentistry · NPI 1770653495

Gary Ellenbogen, DDS practises 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8100 Boone Blvd
Vienna, VA 22182-2665 Not confirmed with CMS for 13 years — call before visiting
Phone: (703) 734-1095
Fax: (703) 714-9330
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Other providers in Vienna