SMILES OF VIRGINIA FAMILY DENTAL CENTER PLLC NPI 1568820702

NPI Information

  • NPI: 1568820702
  • Provider Name: SMILES OF VIRGINIA FAMILY DENTAL CENTER, PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • CLIA Number: 49D2189054
  • Address: 633 CEDAR CREEK GRADE
    WINCHESTER, VA
    ZIP 22601
  • Phone: (540) 450-2100

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NPI Details

SMILES OF VIRGINIA FAMILY DENTAL CENTER, PLLC is a dental clinic center in Winchester, VA. SMILES OF VIRGINIA FAMILY DENTAL CENTER, PLLC NPI is 1568820702. The provider is registered as an organization entity type.

The provider's business location address is:

633 CEDAR CREEK GRADE
WINCHESTER, VA
ZIP 22601-708
Phone: (540) 450-2100

The provider's authorized official is Niels Oestervemb .
The authorized official title is Owner and has the following contact phone number (319) 936-9008.

The CLIA number assigned to this NPI record is 49D2189054 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2016 and was last updated on 3/29/2024.

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
1261QD0000XClinic/CenterDentalYes

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: 3/30/2025

NPI Synchronization or Removal

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