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

Dental Professionals of Virginia, PC

Organization General Practice Dentistry · NPI 1962813402

Dental Professionals of Virginia, PC provides General Practice Dentistry in Glen Allen, Virginia. Registered with an NPI since 2014.

In the registry since
2014
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

11549 Nuckols Rd Ste A
Glen Allen, VA 23059-5664 Not confirmed with CMS for 12 years — call before visiting
Phone: (804) 527-2982
Fax: (804) 527-2987
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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

Record details

NPI number1962813402
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDental Professionals of Virginia, PC
Authorized official Kim Wilson — Cred Supervisor · (217) 540-5170
Other names Family Dentistry Of Short Pump
NPI enumeratedMay 19, 2014
Last updated in NPPESMay 19, 2014
Mailing address11549 Nuckols Rd Ste A, Glen Allen, VA 23059-5664

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