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

VA Southern Dental PPO PC

Organization Dentist · NPI 1053293746

VA Southern Dental PPO PC is a Dentist in Fredericksburg, Virginia. Registered with an NPI since 2025.

In the registry since
2025
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

1315 Emancipation Hwy
Fredericksburg, VA 22401-4640
Phone: (540) 899-1777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1053293746
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationVA Southern Dental PPO PC
Authorized official Erika Menjivar — Sr. Credentialing Specialist · (469) 596-6137
Other names Big Smile Dental
NPI enumeratedJuly 23, 2025
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address5830 Granite Pkwy Ste 780, Plano, TX 75024-6775

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