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MARK DIEFENDERFER DDS
NPI 1588716112
Dentist in Midlothian, VA

Active since January 16, 2007Opted out of Medicare · through Sep 23, 2026
1612 HUGUENOT ROAD, MIDLOTHIAN, VA 23113(804) 794-9789(804) 419-1059 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Diefenderfer Dds NPPES

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

MARK DIEFENDERFER DDS (NPI 1588716112) is an individual dentist in Midlothian, Virginia, licensed in Virginia (0401410788) and active in the NPI registry since January 2007. He has opted out of Medicare through September 23, 2026.

NPPES Registry Identity

NPI1588716112
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMARK DIEFENDERFERCredential: DDS
Location Address1612 HUGUENOT ROADMidlothian, VA 23113
Mailing Address1612 Huguenot RoadMidlothian, VA 23113 · (804) 794-9789 · Fax (804) 794-9762
Phone(804) 794-9789
Fax(804) 419-1059
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateAugust 5, 2021
NPPES CertifiedAugust 5, 2021
✔ NPI 1588716112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in VA · 0401410788
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.
1612 HUGUENOT ROAD, Midlothian, VA 23113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life, Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mark Diefenderfer Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 23, 2016 through September 23, 2026.

Opt-Out Effective DateSeptember 23, 2016
Opt-Out In Effect ThroughSeptember 23, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SETH TYLER PERKINSON DDS
Dentist
1612 HUGUENOT ROAD
MIDLOTHIAN, VA 23113
Chesterfield County (804) 794-9789
JOHN D BUHLER DDS
Dentist
1612 HUGUENOT ROAD
MIDLOTHIAN, VA 23113
Chesterfield County (804) 794-9789
DR. JAMIE YUAN DENONCOURT D.D.S.
Dentist (General Practice)
1612 HUGUENOT ROAD
MIDLOTHIAN, VA 23113
Chesterfield County (804) 794-9789
RICHARD C PERKINS DDS
Dentist
1612 HUGUENOT ROAD
MIDLOTHIAN, VA 23113
Chesterfield County (804) 794-9789
DWIGHT V BUELOW DDS MS
Dentist (Orthodontics and Dentofacial Orthopedics)
1612 HUGUENOT ROAD
MIDLOTHIAN, VA 23113
Chesterfield County (804) 419-1041
DR. STEVEN GERARD FORTE DDS
Dentist (Endodontics)
1612 HUGUENOT ROAD
MIDLOTHIAN, VA 23113
Chesterfield County (804) 794-9789
CATHERINE P CRICHTON DDS
Dentist
1612 HUGUENOT ROAD
MIDLOTHIAN, VA 23113
Chesterfield County (804) 794-9789
VIRGINIA FAMILY DENTISTRY PC
Dentist (General Practice)
1612 HUGUENOT ROAD
MIDLOTHIAN, VA 23113
Chesterfield County (804) 794-9789

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 Mark Diefenderfer's NPI number?

The NPI number for Mark Diefenderfer is 1588716112. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Mark Diefenderfer located?

Mark Diefenderfer practices at 1612 Huguenot Road, Midlothian, VA 23113. The listed phone number is (804) 794-9789.

What is Mark Diefenderfer's specialty?

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

Is Mark Diefenderfer enrolled in Medicare?

No. Mark Diefenderfer has opted out of Medicare through September 23, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Mark Diefenderfer accept?

Health plans from Florida Combined Life and Humana list Mark Diefenderfer 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 Mark Diefenderfer was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.