LIFE BRIDGE DENTAL VA PLLC
NPI 1316603939
Dentist - General Practice in Arlington, VA

Q: What is Life Bridge Dental VA PLLC's NPI number?

The NPI number for Life Bridge Dental VA PLLC is 1316603939. It was assigned to this organization in the NPPES registry on November 9, 2021.

Q: What is Life Bridge Dental VA PLLC's specialty?

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

Active since November 09, 2021

4201 WILSON BLVD STE 190, ARLINGTON, VA 22203(212) 686-3686(615) 468-0325 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Life Bridge Dental Va Pllc NPPES

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

LIFE BRIDGE DENTAL VA PLLC (NPI 1316603939) is a healthcare organization registered as a general practice in Arlington, Virginia and active in the NPI registry since November 2021. The organization lists Kenneth N Sullivan, Director Rcm, as its authorized official.

NPPES Registry Identity

NPI1316603939

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLIFE BRIDGE DENTAL VA PLLC

Location Address4201 WILSON BLVD STE 190Arlington, VA 22203-4147

Mailing AddressDept Ch 18077Palatine, IL 60055-8077 · (212) 686-3686 · Fax (615) 468-0325

Phone(212) 686-3686

Fax(615) 468-0325

Organization SubpartNo

Authorized OfficialKenneth N SullivanDirector Rcm · (615) 601-5250

Enumeration DateNovember 9, 2021

NPPES CertifiedNovember 9, 2021

✔ NPI 1316603939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

4201 WILSON BLVD STE 190, Arlington, VA 22203

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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

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 Life Bridge Dental VA PLLC's NPI number?

The NPI number for Life Bridge Dental VA PLLC is 1316603939. It was assigned to this organization in the NPPES registry on November 9, 2021.

Where is Life Bridge Dental VA PLLC located?

Life Bridge Dental VA PLLC is located at 4201 Wilson Blvd Ste 190, Arlington, VA 22203. The listed phone number is (212) 686-3686.

What is Life Bridge Dental VA PLLC'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 Life Bridge Dental VA PLLC was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.