# NEIBAUER DENTAL CARE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEIBAUER DENTAL CARE, P.C.
- **Other names:** Embrey Mill Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033788419
- **Legal business name:** NEIBAUER DENTAL CARE, P.C.
- **Authorized official:** CELIA HAYES (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-2100

## Contact information

- **Practice address:** 1610 PUBLIX WAY STE 120, STAFFORD, VA 22554-7783
- **Practice address phone:** (540) 779-0395
- **Mailing address:** 1610 PUBLIX WAY STE 120, STAFFORD, VA 22554-7783
- **Mailing address phone:** (540) 779-0395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/21/2021
- **Last updated:** 06/21/2021