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PEDIATRIC DENTISTRY & ORTHODONTICS OF VA, PC
NPI 1124579396
Dentist - General Practice in Midlothian, VA

Active since October 21, 2016
13463 HULL STREET RD., MIDLOTHIAN, VA 23112(804) 739-0963(804) 739-0965 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2023, Oct 21, 2016 (2 updates tracked since 2016).

About Pediatric Dentistry & Orthodontics Of Va, Pc NPPES

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

PEDIATRIC DENTISTRY & ORTHODONTICS OF VA, PC (NPI 1124579396) is a healthcare organization registered as a general practice in Midlothian, Virginia and active in the NPI registry since October 2016. The organization lists Steven R. Lubbe, Vice President, as its authorized official.

NPPES Registry Identity

NPI1124579396
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePEDIATRIC DENTISTRY & ORTHODONTICS OF VA, PC
Location Address13463 HULL STREET RD.Midlothian, VA 23112-2103
Mailing Address13463 Hull Street Rd.Midlothian, VA 23112-2103 · (804) 739-0963 · Fax (804) 739-0965
Phone(804) 739-0963
Fax(804) 739-0965
Organization SubpartYesParent: Central Virginia Dental Care, P.l.c.-pediatric Dentistry & Orthodontic
Authorized OfficialSteven R. LubbeVice President · (804) 739-0963
Enumeration DateOctober 21, 2016
Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration
✔ NPI 1124579396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
13463 HULL STREET RD., Midlothian, VA 23112
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Pediatric Dentistry & Orthodontics Of VA, PC's NPI number?

The NPI number for Pediatric Dentistry & Orthodontics Of VA, PC is 1124579396. It was assigned to this organization in the NPPES registry on October 21, 2016.

Where is Pediatric Dentistry & Orthodontics Of VA, PC located?

Pediatric Dentistry & Orthodontics Of VA, PC is located at 13463 Hull Street Rd., Midlothian, VA 23112. The listed phone number is (804) 739-0963.

What is Pediatric Dentistry & Orthodontics Of VA, PC's specialty?

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

What insurance does Pediatric Dentistry & Orthodontics Of VA, PC accept?

Health plans from UnitedHealthcare list Pediatric Dentistry & Orthodontics Of VA, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry & Orthodontics Of VA, PC was last updated on December 12, 2023. 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.