Life Bridge Dental VA PLLC
NPI 1316603939ActiveOrganization· Dentist, General Practice· Arlington, VA
Dentist, General Practice in Arlington, Virginia, registered in NPPES in November 2021. The authorized official on file is Kenneth N. Sullivan, Director Rcm.
Overview
| NPI | 1316603939 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 9, 2021 |
| Last updated in NPPES | Nov 9, 2021 |
| Certified by provider | Nov 9, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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