OrganizationActive
Fairfax Ent & Facial Plastic Surgery, PC
NPI 1720259054 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Falls Church, VA
Provider details
- NPI number
- 1720259054
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laurence O'Halloran, President(703) 573-3687
- License
- 0101051134 (VA)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense 0101051134 (VA)
Allopathic & Osteopathic Physicians
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
8120 Gatehouse Rd
#3
Falls Church, VA 22042-1204
Phone: (703) 573-3687
Fax: (703) 204-0114
Street-level locationGet directions
Mailing address
8120 Gatehouse Rd
Falls Church, VA 22042-1204
Registry dates
- Enumerated
- 2008-03-14
- Last updated
- 2016-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.