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
Mailing address8100 Boone Blvd, Vienna, VA 22182-2665

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