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NEIBAUER DENTAL CARE - CENTREVILLE
NPI 1730448010
Dentist - General Practice in Centreville, VA

Active since May 08, 2012
5742 PICKWICK RD STE 15, CENTREVILLE, VA 20121(703) 688-2056 Get Directions Write a Review

NPPES record last updated: May 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Neibauer Dental Care - Centreville NPPES

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

NEIBAUER DENTAL CARE - CENTREVILLE (NPI 1730448010) is a healthcare organization registered as a general practice in Centreville, Virginia and active in the NPI registry since May 2012. The organization lists Kelli Walker, Insurance/credentialing, as its authorized official.

NPPES Registry Identity

NPI1730448010
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNEIBAUER DENTAL CARE, PC
Location Address5742 PICKWICK RD STE 15Centreville, VA 20121-4730
Mailing Address5742 Pickwick Rd Ste 15Centreville, VA 20121-4730 · (703) 688-2056
Phone(703) 688-2056
Organization SubpartYes
Authorized OfficialKelli WalkerInsurance/credentialing · (217) 540-5100
Enumeration DateMay 8, 2012
✔ NPI 1730448010 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 · 0401411903
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.
5742 PICKWICK RD STE 15, Centreville, VA 20121
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Other Names 1

Doing Business AsNeibauer Dental Care - Centreville

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

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 Neibauer Dental Care, PC's NPI number?

The NPI number for Neibauer Dental Care, PC is 1730448010. It was assigned to this organization in the NPPES registry on May 8, 2012. The provider is doing business as Neibauer Dental Care - Centreville.

Where is Neibauer Dental Care, PC located?

Neibauer Dental Care, PC is located at 5742 Pickwick Rd Ste 15, Centreville, VA 20121. The listed phone number is (703) 688-2056.

What is Neibauer Dental Care, PC'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 Neibauer Dental Care, PC was last updated on May 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.