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IMPACT FAMILY DENTAL PLLC
NPI 1679378426
Dentist - General Practice in Blacksburg, VA

Active since February 17, 2025
110 PROFESSIONAL PARK DR SE, BLACKSBURG, VA 24060(540) 655-0170 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Impact Family Dental Pllc NPPES

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

IMPACT FAMILY DENTAL PLLC (NPI 1679378426) is a healthcare organization registered as a general practice in Blacksburg, Virginia and active in the NPI registry since February 2025. The organization lists Glenn Evans, Owner, as its authorized official.

NPPES Registry Identity

NPI1679378426
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameIMPACT FAMILY DENTAL PLLC
Location Address110 PROFESSIONAL PARK DR SEBlacksburg, VA 24060-6735
Mailing Address110 Professional Park Dr SeBlacksburg, VA 24060-6735 · (540) 655-0170
Phone(540) 655-0170
Organization SubpartNo
Authorized OfficialGlenn EvansOwner · (540) 655-0170
Enumeration DateFebruary 17, 2025
NPPES CertifiedFebruary 16, 2025
✔ NPI 1679378426 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.
110 PROFESSIONAL PARK DR SE, Blacksburg, VA 24060
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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

Other Providers at the Same Location NPPES 2

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

BLUE RIDGE OPTICAL
Technician/Technologist (Optician)
110 PROFESSIONAL PARK DR SE, SUITE 6
BLACKSBURG, VA 24060
Montgomery County (540) 552-4588
DR. OLIVIA LEE SCHAUBACH O.D.
Optometrist (Corneal and Contact Management)
110 PROFESSIONAL PARK DR SE, SUITE 5
BLACKSBURG, VA 24060
Montgomery County (540) 552-4573

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 Impact Family Dental PLLC's NPI number?

The NPI number for Impact Family Dental PLLC is 1679378426. It was assigned to this organization in the NPPES registry on February 17, 2025.

Where is Impact Family Dental PLLC located?

Impact Family Dental PLLC is located at 110 Professional Park Dr SE, Blacksburg, VA 24060. The listed phone number is (540) 655-0170.

What is Impact Family Dental 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 Impact Family Dental PLLC was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.