Organization · Type 2 NPI

Dental Professionals of Virginia, P.c

General Practice Dentistry · Broadlands, VA

NPI number 1104253186 Active

Practice location

43170 Southern Walk Plz, Suite 116
Broadlands, VA 20148-4464

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.

NPI record

NPI: 1104253186
Entity type: Organization (Type 2)
Issued: Oct 4, 2013
Last updated: Jan 11, 2014
Status: Active
Subpart: Yes of Dental Professionals of Virginia, P.c

Other names

<unavail>
Broadlands Complete Dental · doing business as

Authorized official

Lindsay Bearden
Insurane/credentialing
(217) 540-5100

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.

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About NPI 1104253186

Dental Professionals of Virginia, P.c's National Provider Identifier is 1104253186, issued on Oct 4, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Broadlands, VA. The record was last updated on Jan 11, 2014.