# HEARTLAND DENTAL CARE OF VIRGINIA, P.C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEARTLAND DENTAL CARE OF VIRGINIA, P.C
- **Other names:** Reflection Dental West End
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083827893
- **Legal business name:** HEARTLAND DENTAL CARE OF VIRGINIA, P.C
- **Authorized official:** AMY KROEGER (INS COOD)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 5249 DUKE ST, SUITE 410, ALEXANDRIA, VA 22304-2926
- **Practice address phone:** (703) 212-7500
- **Practice address fax:** (703) 212-7056
- **Mailing address:** 5249 DUKE ST, SUITE 410, ALEXANDRIA, VA 22304-2926
- **Mailing address phone:** (703) 212-7500
- **Mailing address fax:** (703) 212-7056

## Taxonomy

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

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 04/02/2008