Lifetime Dentistry At Short Pump

LBN: Neibauer Dental Care, P.C.
Lifetime Dentistry At Short Pump is an health care organization with primary practice located at 12244 W Broad St , Henrico VA 23233-1062. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is the primary health care specialty. Neibauer Dental Care, P.C. can be contacted via phone (804) 360-8890, or through Credentialing, All via phone (217) 540-2100.

Contact Information

Primary practice address
12244 W Broad St Henrico VA 23233-1062
Phone: (804) 360-8890
Fax: (804) 360-8894
Website:
Map and Directions
Authorized official contact:
Name: Credentialing, All
Phone: (217) 540-2100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401413582 Virginia
Dental Providers / Dentist 122300000X 0401412223 Virginia
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1396012936
LBN Legal business name Neibauer Dental Care, P.C.
DBA Doing business as Lifetime Dentistry At Short Pump
Authorized official Credentialing, All
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 28th, 2011
Last updated Oct 28th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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