GALLERIA DENTAL AESTHETICS
NPI 1699477463
Dentist - General Practice in Mc Lean, VA

Active since March 17, 2023
1600 TYSONS BLVD STE 120, MC LEAN, VA 22102(703) 527-1020 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2023, Mar 17, 2023 (2 updates tracked since 2023).

About Galleria Dental Aesthetics NPPES

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

GALLERIA DENTAL AESTHETICS (NPI 1699477463) is a healthcare organization registered as a general practice in Mc Lean, Virginia and active in the NPI registry since March 2023. The organization lists Chad Hendricks, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1699477463
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGD VA GDA PLLC
Location Address1600 TYSONS BLVD STE 120Mc Lean, VA 22102-4882
Mailing Address1600 Tysons Blvd Ste 120Mc Lean, VA 22102-4882 · (703) 448-1020
Organization SubpartNo
Authorized OfficialChad HendricksCredentialing · (612) 859-0444
Enumeration DateMarch 17, 2023
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
NPI 1699477463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
1600 TYSONS BLVD STE 120, Mc Lean, VA 22102

Other Names 1

Doing Business AsGalleria Dental Aesthetics

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 Gd VA Gda PLLC's NPI number?

The NPI number for Gd VA Gda PLLC is 1699477463. It was assigned to this organization in the NPPES registry on March 17, 2023. The provider is doing business as Galleria Dental Aesthetics.

Where is Gd VA Gda PLLC located?

Gd VA Gda PLLC is located at 1600 Tysons Blvd Ste 120, Mc Lean, VA 22102. The listed phone number is (703) 527-1020.

What is Gd VA Gda 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 Gd VA Gda PLLC was last updated on July 5, 2023. 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.