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

Pediatric Dentistry & Orthodontics of VA, PC

Organization General Practice Dentistry · NPI 1124579396

Pediatric Dentistry & Orthodontics of VA, PC is a General Practice Dentistry in Midlothian, Virginia. Registered with an NPI since 2016.

In the registry since
2016
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

13463 Hull Street Rd
Midlothian, VA 23112-2103
Phone: (804) 739-0963
Fax: (804) 739-0965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Pediatric Dentistry Taxonomy 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1124579396
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCentral Virginia Dental Care, P L C -Pediatric Dentistry & Orthodontic
Authorized official Steven Lubbe — Vice President · (804) 739-0963
NPI enumeratedOctober 21, 2016
Last updated in NPPESDecember 12, 2023
Mailing address13463 Hull Street Rd., Midlothian, VA 23112-2103

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