Provider Type Icon

SPARKLE PEDIATRIC DENTISTRY NPI 1821535444


NPI Information

NPI: 1821535444
Provider Name: SPARKLE PEDIATRIC DENTISTRY

Doing Business As: SPARKLE PEDIATRIC DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
11934 W BROAD ST STE 120
HENRICO, VA
ZIP 23233
Phone: (804) 746-7382
Get Directions

SPARKLE PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Henrico, VA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. SPARKLE PEDIATRIC DENTISTRY NPI is 1821535444. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sparkle Pediatric Dentistry.

The provider's business location address is:

11934 W BROAD ST STE 120
HENRICO, VA
ZIP 23233-100
Phone: (804) 746-7382
Fax: (804) 746-3025

The provider's authorized official is Holly C Lewis .
The authorized official title is Pediatric Dental Specialist and has the following contact phone number (804) 746-7382.

The enumeration date for this NPI number is 1/20/2017 and was last updated on 9/23/2021.


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
11223P0221XDentistPediatric DentistryYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.