# NEIBAUER DENTAL CARE

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

## Provider details

- **NPI number:** 1275790651
- **Authorized official:** MARTHA A NIXON (INSURANCE MANAGER)
- **Authorized official phone:** (540) 548-4018

## Contact information

- **Practice address:** 5630 PLANK RD, FREDERICKSBURG, VA 22407-6641
- **Practice address phone:** (540) 548-4018
- **Practice address fax:** (888) 527-6297
- **Mailing address:** 5630 PLANK RD, FREDERICKSBURG, VA 22407-6641
- **Mailing address phone:** (540) 548-4018
- **Mailing address fax:** (888) 527-6297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 05/22/2008