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GRACE DENTAL OF VIRGINIA, LLC
NPI 1700212511
Dentist - General Practice in Chantilly, VA

Active since September 25, 2013
4530 WALNEY RD, SUITE 102, CHANTILLY, VA 20151(703) 870-7784 Get Directions Write a Review

NPPES record last updated: September 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Dental Of Virginia, Llc NPPES

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

GRACE DENTAL OF VIRGINIA, LLC (NPI 1700212511) is a healthcare organization registered as a general practice in Chantilly, Virginia and active in the NPI registry since September 2013. The organization lists Samer Jarwa, Dentist, as its authorized official.

NPPES Registry Identity

NPI1700212511
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGRACE DENTAL OF VIRGINIA, LLC
Location Address4530 WALNEY RD, SUITE 102Chantilly, VA 20151-2284
Mailing Address4530 Walney Rd, Suite 102Chantilly, VA 20151-2284 · (703) 870-7784
Phone(703) 870-7784
Organization SubpartNo
Authorized OfficialSamer JarwaDentist · (703) 870-7784
Enumeration DateSeptember 25, 2013
✔ NPI 1700212511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401412081
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.
4530 WALNEY RD, Chantilly, VA 20151
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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.

GRACE YAFENG ROGERS DRISCOLL
Behavior Technician
4530 WALNEY RD, 4530 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (619) 795-9925
MR. ARISTOTLE HOWARD II
Behavior Technician
4530 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (619) 795-9925

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 Grace Dental Of Virginia, LLC's NPI number?

The NPI number for Grace Dental Of Virginia, LLC is 1700212511. It was assigned to this organization in the NPPES registry on September 25, 2013.

Where is Grace Dental Of Virginia, LLC located?

Grace Dental Of Virginia, LLC is located at 4530 Walney Rd Suite 102, Chantilly, VA 20151. The listed phone number is (703) 870-7784.

What is Grace Dental Of Virginia, LLC'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 Grace Dental Of Virginia, LLC was last updated on September 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.