NEIBAUER DENTAL CARE P.C. NPI 1396012936

NPI Information

  • NPI: 1396012936
  • Provider Name: NEIBAUER DENTAL CARE, P.C.
  • Classification: Dentist - 122300000X
  • Entity Type: Organization
  • Doing Business As: LIFETIME DENTISTRY AT SHORT PUMP
  • Address: 12244 W BROAD ST
    HENRICO, VA
    ZIP 23233
  • Phone: (804) 360-8890

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NPI Details

NEIBAUER DENTAL CARE, P.C. is a dentist in Henrico, VA. The provider is 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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. NEIBAUER DENTAL CARE, P.C. NPI is 1396012936. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lifetime Dentistry At Short Pump.

The provider's business location address is:

12244 W BROAD ST
HENRICO, VA
ZIP 23233-062
Phone: (804) 360-8890
Fax: (804) 360-8894

The provider's authorized official is All Credentialing .
The authorized official title is Credentialing Coordinator and has the following contact phone number (217) 540-2100.

The enumeration date for this NPI number is 11/28/2011 and was last updated on 10/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist0401412223VIRGINIANo
21223G0001XDentistGeneral PracticeNo
3122300000XDentist0401413582VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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