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VIRGINIA DENTAL GROUP PLLC
NPI 1114606811
Dentist - Orofacial Pain in Fairfax, VA

Active since July 12, 2023
3911 BLENHEIM BLVD STE 42C, FAIRFAX, VA 22030(703) 385-3800(703) 890-0084 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2024, Jul 12, 2023 (2 updates tracked since 2023).

About Virginia Dental Group Pllc NPPES

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

VIRGINIA DENTAL GROUP PLLC (NPI 1114606811), doing business as Lida M Vargas Dds, is a healthcare organization registered as an orofacial pain in Fairfax, Virginia and active in the NPI registry since July 2023. The organization lists Karen Puna, Manager, as its authorized official.

NPPES Registry Identity

NPI1114606811
Entity TypeOrganization
Primary Taxonomy1223X2210X
Legal Business NameVIRGINIA DENTAL GROUP PLLC
Location Address3911 BLENHEIM BLVD STE 42CFairfax, VA 22030-2434
Mailing Address3911 Blenheim Blvd Ste 42cFairfax, VA 22030-2434 · (703) 385-3800 · Fax (703) 890-0084
Phone(703) 385-3800
Fax(703) 890-0084
Organization SubpartNo
Authorized OfficialKaren PunaManager · (703) 385-3800
Enumeration DateJuly 12, 2023
Last NPPES UpdateApril 16, 20242 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
✔ NPI 1114606811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
3911 BLENHEIM BLVD STE 42C, Fairfax, VA 22030
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Other Names 2

Former Legal Business NameLida M Vargas Dds
Doing Business AsVirginia Dental Group Pllc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Virginia Dental Group PLLC's NPI number?

The NPI number for Virginia Dental Group PLLC is 1114606811. It was assigned to this organization in the NPPES registry on July 12, 2023. The provider was formerly known as Lida M Vargas Dds.

Where is Virginia Dental Group PLLC located?

Virginia Dental Group PLLC is located at 3911 Blenheim Blvd Ste 42C, Fairfax, VA 22030. The listed phone number is (703) 385-3800.

What is Virginia Dental Group PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

When was this NPI record last updated?

The NPPES record for Virginia Dental Group PLLC was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.