BROADLANDS COMPLETE DENTAL
NPI 1104253186
Dentist - General Practice in Broadlands, VA

Q: What is Dental Professionals Of Virginia, P.C's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since October 04, 2013

43170 SOUTHERN WALK PLZ, SUITE 116, BROADLANDS, VA 20148(703) 957-7066 Get Directions Write a Review

NPPES record last updated: January 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Broadlands Complete Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADLANDS COMPLETE DENTAL (NPI 1104253186) is a healthcare organization registered as a general practice in Broadlands, Virginia and active in the NPI registry since October 2013. The organization lists Lindsay Bearden, Insurane/credentialing, as its authorized official.

NPPES Registry Identity

NPI1104253186

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDENTAL PROFESSIONALS OF VIRGINIA, P.C

Location Address43170 SOUTHERN WALK PLZ, SUITE 116Broadlands, VA 20148-4464

Mailing Address43170 Southern Walk Plz, Suite 116Broadlands, VA 20148-4464 · (703) 957-7066

Phone(703) 957-7066

Organization SubpartYes

Authorized OfficialLindsay BeardenInsurane/credentialing · (217) 540-5100

Enumeration DateOctober 4, 2013

Last NPPES UpdateJanuary 11, 2014

✔ NPI 1104253186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

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.

43170 SOUTHERN WALK PLZ, Broadlands, VA 20148

Open in Google Maps ↗

Other Names 1

Doing Business AsBroadlands Complete Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dental Professionals Of Virginia, P.C's NPI number?

The NPI number for Dental Professionals Of Virginia, P.C is 1104253186. It was assigned to this organization in the NPPES registry on October 4, 2013. The provider is doing business as Broadlands Complete Dental.

Where is Dental Professionals Of Virginia, P.C located?

Dental Professionals Of Virginia, P.C is located at 43170 Southern Walk Plz Suite 116, Broadlands, VA 20148. The listed phone number is (703) 957-7066.

What is Dental Professionals Of Virginia, P.C's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dental Professionals Of Virginia, P.C was last updated on January 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.