VA SOUTHERN DENTAL PPO PC
NPI 1508718750
Dentist in Annandale, VA

Active since February 11, 2026
4330 EVERGREEN LN STE F1, ANNANDALE, VA 22003(703) 941-2763 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Va Southern Dental Ppo Pc NPPES

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

VA SOUTHERN DENTAL PPO PC (NPI 1508718750), doing business as Yen Le Dds, is a healthcare organization registered as a dentist in Annandale, Virginia and active in the NPI registry since February 2026. The organization lists Erika Melissa Menjivar, Sr. Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1508718750
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameVA SOUTHERN DENTAL PPO PC
Location Address4330 EVERGREEN LN STE F1Annandale, VA 22003-3258
Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775
Organization SubpartYes
Authorized OfficialErika Melissa MenjivarSr. Credentialing Specialist · (469) 596-6137
Enumeration DateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
NPI 1508718750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.

4330 EVERGREEN LN STE F1, Annandale, VA 22003

Other Names 1

Doing Business AsYen Le Dds

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 VA Southern Dental Ppo PC's NPI number?

The NPI number for VA Southern Dental Ppo PC is 1508718750. It was assigned to this organization in the NPPES registry on February 11, 2026.

Where is VA Southern Dental Ppo PC located?

VA Southern Dental Ppo PC is located at 4330 Evergreen Ln Ste F1, Annandale, VA 22003. The listed phone number is (703) 941-2763.

What is VA Southern Dental Ppo PC'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 VA Southern Dental Ppo PC was last updated on February 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.