Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PEDIATRIC DENTISTRY OF VIRGINIA, PLLC
NPI 1295964955
Dentist - Pediatric Dentistry in Mechanicsville, VA

Active since July 02, 2009
8203 CENTER PATH LN STE A, MECHANICSVILLE, VA 23116(804) 746-7382(804) 746-3025 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Pediatric Dentistry Of Virginia, Pllc NPPES

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

PEDIATRIC DENTISTRY OF VIRGINIA, PLLC (NPI 1295964955), doing business as Hanover Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Mechanicsville, Virginia and active in the NPI registry since July 2009. The organization maintains a secondary practice location in Henrico and lists Holly Christal Lewis, Ceo/dentist, as its authorized official.

NPPES Registry Identity

NPI1295964955
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF VIRGINIA, PLLC
Location Address8203 CENTER PATH LN STE AMechanicsville, VA 23116-4060
Mailing Address8203 Center Path Ln Ste AMechanicsville, VA 23116-4060 · (804) 746-7382 · Fax (804) 746-3025
Fax(804) 746-3025
Organization SubpartNo
Authorized OfficialHolly Christal LewisCeo/dentist · (804) 746-7382
Enumeration DateJuly 2, 2009
Last NPPES UpdateSeptember 17, 2026
NPPES CertifiedSeptember 17, 2026
NPI 1295964955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
8203 CENTER PATH LN STE A, Mechanicsville, VA 23116

Other Names 2

Doing Business AsHanover Pediatric Dentistry
Doing Business AsSparkle Pediatric Dentistry Plc

Secondary Practice Location 1

Location 111934 W Broad St Ste 120Henrico, VA 23233-1100 · Phone (804) 746-7382 · Fax (804) 368-1448

Other Identifiers 1

Medicaid9179294VA

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

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 Of Virginia, PLLC's NPI number?

The NPI number for Pediatric Dentistry Of Virginia, PLLC is 1295964955. It was assigned to this organization in the NPPES registry on July 2, 2009. The provider is doing business as Hanover Pediatric Dentistry and Sparkle Pediatric Dentistry PLC.

Where is Pediatric Dentistry Of Virginia, PLLC located?

Pediatric Dentistry Of Virginia, PLLC is located at 8203 Center Path Ln Ste A, Mechanicsville, VA 23116. The listed phone number is (804) 746-7382.

What is Pediatric Dentistry Of Virginia, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Pediatric Dentistry Of Virginia, PLLC accept?

Health plans from UnitedHealthcare list Pediatric Dentistry Of Virginia, PLLC 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 Of Virginia, PLLC was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.