SPARKLE PEDIATRIC DENTISTRY
NPI 1821535444
Dentist - Pediatric Dentistry in Henrico, VA

Active since January 20, 2017
11934 W BROAD ST STE 120, HENRICO, VA 23233(804) 746-7382(804) 746-3025 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2021, Jan 20, 2017 (2 updates tracked since 2017).

About Sparkle Pediatric Dentistry NPPES

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

SPARKLE PEDIATRIC DENTISTRY (NPI 1821535444) is a healthcare organization registered as a pediatric dentistry in Henrico, Virginia and active in the NPI registry since January 2017. The organization lists Holly C Lewis, Pediatric Dental Specialist, as its authorized official.

NPPES Registry Identity

NPI1821535444
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSPARKLE PEDIATRIC DENTISTRY
Location Address11934 W BROAD ST STE 120Henrico, VA 23233-1100
Mailing Address11934 W Broad St Ste 120Henrico, VA 23233-1100 · (804) 746-7382 · Fax (804) 746-3025
Fax(804) 746-3025
Organization SubpartYesParent: Central Virginia Dental Care Plc
Authorized OfficialHolly C LewisPediatric Dental Specialist · (804) 746-7382
Enumeration DateJanuary 20, 2017
Last NPPES UpdateSeptember 23, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
NPI 1821535444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
11934 W BROAD ST STE 120, Henrico, VA 23233

Other Names 1

Doing Business AsSparkle Pediatric Dentistry

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 3

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

Dentist (Pediatric Dentistry)
11934 W BROAD ST STE 120
HENRICO, VA 23233
Dentist (Dentist Anesthesiologist)
11934 W BROAD ST STE 120
HENRICO, VA 23233
Dentist (Pediatric Dentistry)
11934 W BROAD ST STE 120
HENRICO, VA 23233

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 Sparkle Pediatric Dentistry's NPI number?

The NPI number for Sparkle Pediatric Dentistry is 1821535444. It was assigned to this organization in the NPPES registry on January 20, 2017.

Where is Sparkle Pediatric Dentistry located?

Sparkle Pediatric Dentistry is located at 11934 W Broad St Ste 120, Henrico, VA 23233. The listed phone number is (804) 746-7382.

What is Sparkle Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Sparkle Pediatric Dentistry was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.