# ELITE DENTAL GROUP VA, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184536245
- **Authorized official:** DR. KAVISH A GURJAR DDS (OWNER)
- **Authorized official phone:** (540) 373-1660

## Contact information

- **Practice address:** 121 PARK HILL DR STE A, FREDERICKSBURG, VA 22401-3357
- **Practice address phone:** (540) 373-1660
- **Practice address fax:** (540) 373-6830
- **Mailing address:** 121 PARK HILL DR STE A, FREDERICKSBURG, VA 22401-3357
- **Mailing address phone:** (540) 373-1660
- **Mailing address fax:** (540) 373-6830

## Taxonomy

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

## Other

- **Enumeration date:** 09/22/2026
- **Last updated:** 09/22/2026