Dental Professionals of Virginia, P.C.
NPI 1962813402ActiveOrganization· Dentist, General Practice· Glen Allen, VA
Dentist, General Practice in Glen Allen, Virginia, registered in NPPES in May 2014, part of Dental Professionals of Virginia, P.C. The authorized official on file is Kim Wilson, Cred Supervisor.
Overview
| NPI | 1962813402 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Professionals of Virginia, P.C. |
| NPI issued | May 19, 2014 |
| Last updated in NPPES | May 19, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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