Dr. Gary Greenspan , DDS
Dentist - General Practice • Fairfax, VA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Greenspan has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Gary Greenspan, DDS was a registered Dentist - General Practice practicing in Fairfax, VA. Throughout an active medical career spanning 20 years, Dr. Greenspan provided care at the practice location at 12011 LEE JACKSON MEMORIAL HWY until profile deactivation on 2026-07-16.
Practice Location & Contact Primary Location
12011 Lee Jackson Memorial Hwy
105
Fairfax, VA 220333310
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Fairfax, VA
Practicing in Fairfax, VA (3535 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 16, 2026
NPI status registered as active in NPPES database
Registered at 12011 LEE JACKSON MEMORIAL HWY, 105, FAIRFAX, VA 220333310 (Tel: 7032735354)
Registered at 12011 LEE JACKSON MEMORIAL HWY, 105, FAIRFAX, VA 220333310 (Tel: 7032735354)
Recorded as GARY GREENSPAN, D.D.S.
Dentist (License #5854 in VA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
12011 Lee Jackson Memorial Hwy, 105
Fairfax, VA 220333310
Phone: 7032735354
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