OrganizationActive
Boulevard Dental Clinic
NPI 1639346182 · Dental Clinic/Center · Fairfax, VA
Boulevard Dental Clinic is a Dental Clinic/Center organization in Fairfax, VA (NPI 1639346182).
Provider details
- NPI number
- 1639346182
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ricardo Gaitan, General Dentist(703) 206-0466
- License
- 0401008771 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8301 Arlington Blvd
Suite #403
Fairfax, VA 22031-2902
Phone: (703) 206-0466
Fax: (703) 206-0479
Street-level locationGet directions
Mailing address
8301 Arlington Blvd
Fairfax, VA 22031-2902
Other names (DBA / former)
- Other name
- Dr Ricardo M Gaitan Dds/Pc
Registry dates
- Enumerated
- 2008-05-14
- Last updated
- 2008-05-14
Frequently asked questions
- What is Boulevard Dental Clinic's NPI number?
- Boulevard Dental Clinic's National Provider Identifier (NPI) is 1639346182, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boulevard Dental Clinic?
- Boulevard Dental Clinic is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Boulevard Dental Clinic located?
- Boulevard Dental Clinic's practice location on file with NPPES is 8301 Arlington Blvd, Fairfax, VA 22031-2902.
- What is Boulevard Dental Clinic's phone number?
- The practice phone number listed in the NPPES registry for Boulevard Dental Clinic is (703) 206-0466.
- Who is the authorized official for Boulevard Dental Clinic?
- The authorized official listed on Boulevard Dental Clinic's NPPES record is Ricardo Gaitan, General Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boulevard Dental Clinic's NPI active?
- Yes — Boulevard Dental Clinic's NPI (1639346182) is active in the NPPES registry as of the last update on 2008-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.