NEIBAUER DENTAL CARE, PC (NPI# 1265709919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265709919 |
| Entity Type | Organization |
| Organization Name | NEIBAUER DENTAL CARE, PC |
| Other Organization Name | NEIBAUER DENTAL CARE - CENTRAL PARK |
| Practice Address |
3128 Cowan Blvd Fredericksburg VA 22401-4975 |
| Practice Telephone | 5408999511 |
| Practice Fax Number | 5407861994 |
| Mailing Telephone | 5408999511 |
| Mailing Fax Number | 5407861994 |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |
| Authorized Official Name | KELLI WALKER (INSURANCE/CREDENTIALING) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEIBAUER DENTAL CARE, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Neibauer Dental Care - Central Park | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619237229 | Neibauer Dental Care, PC | Dentist | 6383 Oxon Hill Rd, Oxon Hill, MD 20745-2236 | 2012-05-17 |
| 1235498882 | Neibauer Dental Care, PC | Dentist | 3601 E West Hwy # A3, Hyattsville, MD 20782-2060 | 2012-05-16 |
| 1730448010 | Neibauer Dental Care, PC | Dentist | 5742 Pickwick Rd Ste 15, Centreville, VA 20121-4730 | 2012-05-08 |
| 1043588817 | Neibauer Dental Care, PC | Dentist | 7651 Matapeake Business Drive Suite 106, Brandywine, MD 20613 | 2011-12-08 |
| 1295002814 | Neibauer Dental Care, PC | Dentist | 10051 Market Cir, Manassas, VA 20110-2120 | 2011-11-28 |
| 1215204839 | Neibauer Dental Care, PC | Dentist | 251 West Lee Hwy., Suite 197, Warrenton, VA 20186-2047 | 2011-11-28 |
| 1265709802 | Neibauer Dental Care, PC | Dentist | 8626 Richmond Hwy, Alexandria, VA 22309-4205 | 2011-11-28 |
| 1972870509 | Neibauer Dental Care, PC | Dentist | 1166 State Route 3 S, Suite 211, Gambrills, MD 21054-1767 | 2011-11-28 |
| 1023385648 | Neibauer Dental Care, PC | Dentist | 14901 Potomac Town Pl, Suite 175, Woodbridge, VA 22191-4096 | 2011-11-28 |
| 1942577580 | Neibauer Dental Care, PC | Dentist | 20 Berkshire Dr Ste 115, Stafford, VA 22554-7863 | 2011-11-28 |
| Street Address |
3128 COWAN BLVD |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-4975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811174667 | Swati Vellanki | Dentist | 3128 Cowan Blvd, Fredericksburg, VA 22401-4975 | 2008-01-23 |
| 1629416771 | Dipti Gejji | Dentist | 3128 Cowan Blvd, Fredericksburg, VA 22401-4975 | 2013-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609224567 | Yosreldin Koheil Dds Plc | Dentist | 10040 Jefferson Davis Hwy, Ste 112, Fredericksburg, VA 22407-9431 | 2016-06-01 |
| 1902235211 | Kwesi Gill | Dentist | 927 Maple Grove Dr Ste 111, Fredericksburg, VA 22407-6936 | 2013-11-06 |
| 1023385663 | Neibauer Dental Care, PC | Dentist | 9859 Jefferson Davis Hwy, Fredericksburg, VA 22407-9422 | 2011-11-28 |
| 1760789796 | Quality Dental, Pllc | Dentist | 5100 Southpoint Pkwy, Fredericksburg, VA 22407-2661 | 2011-02-28 |
| 1861797326 | Tamesha Morris Dds PC | Dentist | 3904 N Andover Ln, Fredericksburg, VA 22408-7742 | 2011-01-14 |
| 1619299849 | Wayne L Whitley | Dentist | 433 Bridgewater St, Fredericksburg, VA 22401-3347 | 2010-02-15 |
| 1932432770 | John Ryan Bailey | Dentist | 10705 Courthouse Rd Ste 118, Fredericksburg, VA 22407-7797 | 2009-09-11 |
| 1407098197 | Carter Milan Waller | Dentist | 1417 Parcell St, Fredericksburg, VA 22401-4616 | 2009-03-27 |
| 1932374683 | Fredericksburg Dental Care | Dentist | 10620 Courthouse Rd, Fredericksburg, VA 22407-1602 | 2008-04-24 |
| 1538330741 | Lawrence Phillips | Dentist | 974 Bragg Rd, Fredericksburg, VA 22407-6979 | 2008-03-14 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on NEIBAUER DENTAL CARE, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.