NPIMap

Organization Active NPI

Georges Traboulsi DDS PC

  • Dental Clinic/Center
  • Fairfax, VA
National Provider Identifier
1790124949
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401413344 Issued in VA
Legal business name
GEORGES TRABOULSI DDS PC
Practice address
3946 Kathryn Jean CT
Fairfax, VA 22033-2739
Phone
(860) 558-7141
NPI assigned
Jun 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Georges Traboulsi, DDS
Title
President
Phone
(860) 558-7141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401413344 VA Primary

Addresses

Primary practice location

3946 Kathryn Jean CT
Fairfax, VA 22033-2739

Mailing address

3946 Kathryn Jean CT
Fairfax, VA 22033-2739
Phone (860) 558-7141

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1790124949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3946 KATHRYN JEAN CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332739",
            "telephone_number": "860-558-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3946 KATHRYN JEAN CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332739",
            "telephone_number": "860-558-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGES TRABOULSI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "TRABOULSI",
        "authorized_official_first_name": "GEORGES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-558-7141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401413344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.