COMMONWEALTH PEDIATRIC DENTISTRY, PLLC
NPI 1982140620
Dentist - General Practice in Midlothian, VA
About Commonwealth Pediatric Dentistry, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMONWEALTH PEDIATRIC DENTISTRY, PLLC (NPI 1982140620) is a healthcare organization registered as a general practice in Midlothian, Virginia and active in the NPI registry since January 2017. The organization lists Lauri Henderson, Administrative Assistant, as its authorized official.Information from the official NPPES registry record.
NPPES Registry Identity
Specialties & Licenses
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.
Group Practice 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D0867674
- Facility Type
- Physician Office
- Certificate Effective Date
- February 25, 2024
- Certificate Expiration Date
- February 24, 2026
- Laboratory Director
- AZHAR M. TALIBI
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Commonwealth Pediatric Dentistry, Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982140620, enumerated as an "organization" on January 18, 2017.
The provider is located at 6661 LAKE HARBOUR DR MIDLOTHIAN, VA 23112 and the phone number is (804) 363-4283.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
