ANDREW W HENRITZE DDS PLLC
NPI 1104533660
Clinic/Center - Dental in Roanoke, VA

Active since November 03, 2022
3611 BRAMBLETON AVE, ROANOKE, VA 24018(540) 991-5151(540) 202-9339 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2025, Nov 3, 2022 (2 updates tracked since 2022).

About Andrew W Henritze Dds Pllc NPPES

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

ANDREW W HENRITZE DDS PLLC (NPI 1104533660), doing business as Southwest Virginia Pediatric Dentistry, is a healthcare organization registered as a dental in Roanoke, Virginia and active in the NPI registry since November 2022. The organization lists Rebecca Hawkins Harris, Accounts Receiveable Analyst, as its authorized official.

NPPES Registry Identity

NPI1104533660
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameANDREW W HENRITZE DDS PLLC
Location Address3611 BRAMBLETON AVERoanoke, VA 24018-3611
Mailing AddressPo Box 52492Phoenix, AZ 85072-2492
Fax(540) 202-9339
Organization SubpartYes
Authorized OfficialRebecca Hawkins HarrisAccounts Receiveable Analyst · (544) 077-6655
Enumeration DateNovember 3, 2022
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
NPI 1104533660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3611 BRAMBLETON AVE, Roanoke, VA 24018

Other Names 1

Doing Business AsSouthwest Virginia Pediatric Dentistry

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
3611 BRAMBLETON AVE
ROANOKE, VA 24018
Dentist (General Practice)
3611 BRAMBLETON AVE
ROANOKE, VA 24018
Dentist (Pediatric Dentistry)
3611 BRAMBLETON AVE
ROANOKE, VA 24018

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 Andrew W Henritze Dds PLLC's NPI number?

The NPI number for Andrew W Henritze Dds PLLC is 1104533660. It was assigned to this organization in the NPPES registry on November 3, 2022. The provider is doing business as Southwest Virginia Pediatric Dentistry.

Where is Andrew W Henritze Dds PLLC located?

Andrew W Henritze Dds PLLC is located at 3611 Brambleton Ave, Roanoke, VA 24018. The listed phone number is (540) 991-5151.

What is Andrew W Henritze Dds PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Andrew W Henritze Dds PLLC was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.