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PRINCE WILLIAM PARKWAY DENTAL PC
NPI 1154892677
Dentist - General Practice in Woodbridge, VA

Active since December 10, 2018
2542 PRINCE WILLIAM PKWY STE 120, WOODBRIDGE, VA 22192(770) 916-9000 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prince William Parkway Dental Pc NPPES

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

PRINCE WILLIAM PARKWAY DENTAL PC (NPI 1154892677), doing business as Pine Dentistry, is a healthcare organization registered as a general practice in Woodbridge, Virginia and active in the NPI registry since December 2018. The organization lists Dale Mayfield, President, as its authorized official.

NPPES Registry Identity

NPI1154892677
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRINCE WILLIAM PARKWAY DENTAL PC
Location Address2542 PRINCE WILLIAM PKWY STE 120Woodbridge, VA 22192-4149
Mailing Address1090 Northchase Pkwy Se Ste 150Marietta, GA 30067-6407 · (770) 916-5036 · Fax (678) 285-4760
Phone(770) 916-9000
Organization SubpartNo
Authorized OfficialDale MayfieldPresident · (770) 916-5036
Enumeration DateDecember 10, 2018
✔ NPI 1154892677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
2542 PRINCE WILLIAM PKWY STE 120, Woodbridge, VA 22192
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Other Names 1

Doing Business AsPine Dentistry

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 Prince William Parkway Dental PC's NPI number?

The NPI number for Prince William Parkway Dental PC is 1154892677. It was assigned to this organization in the NPPES registry on December 10, 2018. The provider is doing business as Pine Dentistry.

Where is Prince William Parkway Dental PC located?

Prince William Parkway Dental PC is located at 2542 Prince William Pkwy Ste 120, Woodbridge, VA 22192. The listed phone number is (770) 916-9000.

What is Prince William Parkway Dental PC'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 Prince William Parkway Dental PC was last updated on December 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.