Organization · Type 2 NPI

Dental Professionals of Virginia, P.c.

General Practice Dentistry · Winchester, VA

NPI number 1417675109 Active

Practice location

615 E Jubal Early Dr
Winchester, VA 22601-5178

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.

2 other providers at this address

Other general practice dentistry providers in Winchester

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NPI record

NPI: 1417675109
Entity type: Organization (Type 2)
Issued: Aug 18, 2022
Last updated: Dec 10, 2024
Status: Active
Subpart: Yes of Dental Professionals of Virginia, P.c.

Other names

<unavail>
Blue Mountain Dental Care · doing business as

Authorized official

Hillary Thull
Credentialing Coordinator
(217) 540-8946

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 1417675109

Dental Professionals of Virginia, P.c.'s National Provider Identifier is 1417675109, issued on Aug 18, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Winchester, VA. The record was last updated on Dec 10, 2024.