Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kids & Family Dental, PC

Organization General Practice Dentistry · NPI 1689933582

Kids & Family Dental, PC provides General Practice Dentistry in Manassas, Virginia. Licensed in Virginia. Registered with an NPI since 2012.

Licensed in
VA
In the registry since
2012
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

9012 Mathis Ave
Manassas, VA 20110-5218 Not confirmed with CMS for 14 years — call before visiting
Phone: (571) 921-1111
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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 · Licence 0401413527 (VA)

Record details

NPI number1689933582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Hodge — Owner · (571) 921-1111
NPI enumeratedMay 11, 2012
Last updated in NPPESMay 11, 2012
Mailing address9012 Mathis Ave, Manassas, VA 20110-5218

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