Organization · Type 2 NPI

Dental Professionals of Virginia, P.c.

General Practice Dentistry · Woodbridge, VA

NPI number 1063167039 Active

Practice location

12707 Ridgefield Village Dr Ste 101
Woodbridge, VA 22193-8915

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: 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.

Other general practice dentistry providers in Woodbridge

See all in Woodbridge →

NPI record

NPI: 1063167039
Entity type: Organization (Type 2)
Issued: Feb 17, 2022
Last updated: Feb 17, 2022
Status: Active
Subpart: Yes of Dental Professionals of Virginia, P.c.

Other names

Ridgefield Village Dental Care · doing business as

Authorized official

Celia Hayes
Credentialing Coordinator
(217) 540-2100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1063167039

Dental Professionals of Virginia, P.c.'s National Provider Identifier is 1063167039, issued on Feb 17, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Woodbridge, VA. The record was last updated on Feb 17, 2022.