Organization · Type 2 NPI

Neibauer Dental Care, P.c.

Dentist · Henrico, VA

NPI number 1396012936 Active

Practice location

12244 W Broad St
Henrico, VA 23233-1062

Fax (804) 360-8894

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	0401413582 (VA)
Dentist	122300000X	0401412223 (VA)
General Practice Dentistry	1223G0001X	None listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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NPI record

NPI: 1396012936
Entity type: Organization (Type 2)
Issued: Nov 28, 2011
Last updated: Oct 28, 2022
Status: Active
Subpart: Yes of Neibauer Dental Care, PC

Other names

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Lifetime Dentistry at Short Pump · doing business as
Lifetime Dentistry at Short Pump · doing business as

Authorized official

All Credentialing
Credentialing Coordinator
(217) 540-2100

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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 1396012936

Neibauer Dental Care, P.c.'s National Provider Identifier is 1396012936, issued on Nov 28, 2011. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Henrico, VA. The record was last updated on Oct 28, 2022.