Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew W Henritze DDS PLLC

Organization Dental Clinic/Center · NPI 1104533660

Andrew W Henritze DDS PLLC is a Dental Clinic/Center in Roanoke, Virginia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3611 Brambleton Ave
Roanoke, VA 24018-3611
Phone: (540) 991-5151
Fax: (540) 202-9339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1104533660
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAndrew W Henritze DDS PLLC
Authorized official Rebecca Harris — Accounts Receiveable Analyst · (544) 077-6655
Other names Southwest Virginia Pediatric Dentistry; Southwest Virginia Pediatric Dentistry
NPI enumeratedNovember 3, 2022
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025
Mailing addressPo Box 52492, Phoenix, AZ 85072-2492

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