Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CENTRAL VIRGINIA DENTAL CARE
NPI 1669378170
Dentist - General Practice in Richmond, VA

Q: What is Central Virginia Dental Care's NPI number?

The NPI number for Central Virginia Dental Care is 1669378170. It was assigned to this organization in the NPPES registry on October 20, 2026. The provider is doing business as Lakeside Dental Center, P.C..

Q: What is Central Virginia Dental Care's specialty?

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

Active since October 20, 2026

6113 LAKESIDE AVE, RICHMOND, VA 23228(804) 262-9824(804) 264-2834 Get Directions Write a Review

NPPES record added: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Central Virginia Dental Care NPPES

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

CENTRAL VIRGINIA DENTAL CARE (NPI 1669378170), doing business as Lakeside Dental Center, P.c., is a healthcare organization registered as a general practice in Richmond, Virginia and active in the NPI registry since October 2026. The organization lists Clayton Forrest Jackson, President, Owner, as its authorized official.

NPPES Registry Identity

NPI1669378170

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameCENTRAL VIRGINIA DENTAL CARE

Location Address6113 LAKESIDE AVERichmond, VA 23228-5236

Mailing Address6113 Lakeside AveRichmond, VA 23228-5236 · (804) 262-9824 · Fax (804) 264-2834

Phone(804) 262-9824

Fax(804) 264-2834

Organization SubpartNo

Authorized OfficialClayton Forrest JacksonPresident, Owner · (703) 638-8104

Enumeration DateOctober 20, 2026

NPPES CertifiedOctober 20, 2026

✔ NPI 1669378170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

6113 LAKESIDE AVE, Richmond, VA 23228

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Other Names 1

Doing Business AsLakeside Dental Center, P.c.

Other Providers at the Same Location NPPES 3

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

THOMAS P MCCONNEL

Dentist

6113 LAKESIDE AVE
RICHMOND, VA 23228

Henrico County (804) 262-9824

DAVID C CIRCEO, DDS PC

Dentist (General Practice)

6113 LAKESIDE AVE
RICHMOND, VA 23228

Henrico County (804) 262-9824

DAVID C. CIRCEO D.D.S., P.C.

Dentist

6113 LAKESIDE AVE
RICHMOND, VA 23228

Henrico County (804) 262-9824

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 Central Virginia Dental Care's NPI number?

The NPI number for Central Virginia Dental Care is 1669378170. It was assigned to this organization in the NPPES registry on October 20, 2026. The provider is doing business as Lakeside Dental Center, P.C..

Where is Central Virginia Dental Care located?

Central Virginia Dental Care is located at 6113 Lakeside Ave, Richmond, VA 23228. The listed phone number is (804) 262-9824.

What is Central Virginia Dental Care'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 Central Virginia Dental Care was last updated on October 20, 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.