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LIFETIME DENTISTRY AT SHORT PUMP
NPI 1396012936
Dentist in Henrico, VA

Active since November 28, 2011
12244 W BROAD ST, HENRICO, VA 23233(804) 360-8890(804) 360-8894 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2022, Oct 19, 2022, Jan 11, 2016 (3 updates tracked since 2016).

About Lifetime Dentistry At Short Pump NPPES

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

LIFETIME DENTISTRY AT SHORT PUMP (NPI 1396012936) is a healthcare organization registered as a dentist in Henrico, Virginia and active in the NPI registry since November 2011. The organization lists All Credentialing, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1396012936
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameNEIBAUER DENTAL CARE, P.C.
Location Address12244 W BROAD STHenrico, VA 23233-1062
Mailing Address12244 W Broad StHenrico, VA 23233-1062 · (804) 360-8890 · Fax (804) 360-8894
Phone(804) 360-8890
Fax(804) 360-8894
Organization SubpartYesParent: Neibauer Dental Care, Pc
Authorized OfficialAll CredentialingCredentialing Coordinator · (217) 540-2100
Enumeration DateNovember 28, 2011
Last NPPES UpdateOctober 28, 20223 updates tracked since enumeration
NPPES CertifiedOctober 28, 2022
✔ NPI 1396012936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in VA · 0401413582✔ Licensed in VA · 0401412223
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
12244 W BROAD ST, Henrico, VA 23233
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Other Names 1

Doing Business AsLifetime Dentistry At Short Pump

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 Neibauer Dental Care, P.C.'s NPI number?

The NPI number for Neibauer Dental Care, P.C. is 1396012936. It was assigned to this organization in the NPPES registry on November 28, 2011. The provider is doing business as Lifetime Dentistry At Short Pump.

Where is Neibauer Dental Care, P.C. located?

Neibauer Dental Care, P.C. is located at 12244 W Broad St, Henrico, VA 23233. The listed phone number is (804) 360-8890.

What is Neibauer Dental Care, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Neibauer Dental Care, P.C. was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.