# NEIBAUER DENTAL CARE, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEIBAUER DENTAL CARE, PC
- **Other names:** Family Dental Care of Warrenton
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215204839
- **Legal business name:** NEIBAUER DENTAL CARE, PC
- **Authorized official:** KENDRA WALKER (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8312

## Contact information

- **Practice address:** 251 WEST LEE HWY., SUITE 197, WARRENTON, VA 20186-2047
- **Practice address phone:** (540) 347-9364
- **Practice address fax:** (540) 341-0183
- **Mailing address:** 251 WEST LEE HWY., SUITE 197, WARRENTON, VA 20186-2047
- **Mailing address phone:** (540) 347-9364
- **Mailing address fax:** (540) 341-0183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401414394 | VA | Yes |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |

## Other

- **Enumeration date:** 11/28/2011
- **Last updated:** 08/28/2015