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

Life Bridge Dental VA PLLC

Organization General Practice Dentistry · NPI 1316603939

Life Bridge Dental VA PLLC is a General Practice Dentistry in Arlington, Virginia. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4201 Wilson Blvd Ste 190
Arlington, VA 22203-4147
Phone: (212) 686-3686
Fax: (615) 468-0325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1316603939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Sullivan — Director Rcm · (615) 601-5250
NPI enumeratedNovember 9, 2021
Last updated in NPPESNovember 9, 2021
Certification dateNovember 9, 2021
Mailing addressDept Ch 18077, Palatine, IL 60055-8077

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