# DENTAL PROFESSIONALS OF VIRGINIA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEARTLAND DENTAL CARE OF VIRGINIA, P.C
- **Other names:** Gum Springs Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174259568
- **Legal business name:** HEARTLAND DENTAL CARE OF VIRGINIA, P.C
- **Authorized official:** CELIA HAYES (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-2100

## Contact information

- **Practice address:** 25739 BRANCH RAIL DR STE 160, CHANTILLY, VA 20152-4515
- **Practice address phone:** (571) 430-3535
- **Practice address fax:** (571) 430-3538
- **Mailing address:** 25739 BRANCH RAIL DR STE 160, CHANTILLY, VA 20152-4515
- **Mailing address phone:** (571) 430-3535
- **Mailing address fax:** (571) 430-3538

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2022
- **Last updated:** 07/27/2022