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

Neibauer Dental Care, PC

Organization Dentist · NPI 1396012936

Neibauer Dental Care, PC is a Dentist in Henrico, Virginia. Licensed in Virginia. Registered with an NPI since 2011.

Licensed in
VA
In the registry since
2011
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12244 W Broad St
Henrico, VA 23233-1062
Phone: (804) 360-8890
Fax: (804) 360-8894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0401413582 (VA)
Dentist Taxonomy 122300000X · Licence 0401412223 (VA)
General Practice Dentistry Taxonomy 1223G0001X

Record details

NPI number1396012936
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNeibauer Dental Care, PC
Authorized official All Credentialing — Credentialing Coordinator · (217) 540-2100
Other names Lifetime Dentistry At Short Pump; Lifetime Dentistry At Short Pump
NPI enumeratedNovember 28, 2011
Last updated in NPPESOctober 28, 2022
Certification dateOctober 28, 2022
Mailing address12244 W Broad St, Henrico, VA 23233-1062

Other providers in Henrico