# HEARTLAND DENTAL CARE OF VIRGINIA, P.C. (FKA MILLER DDS, PC)

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEARTLAND DENTAL CARE OF VIRGINIA, P.C. (FKA MILLER DDS, PC)
- **Other names:** Dulles Family Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295973105
- **Legal business name:** HEARTLAND DENTAL CARE OF VIRGINIA, P.C. (FKA MILLER DDS, PC)
- **Authorized official:** KELLI WALKER (INSURANCE/CREDENTIALING)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 23520 OVERLAND DR STE 134, DULLES, VA 20166-2197
- **Practice address phone:** (703) 661-3660
- **Practice address fax:** (703) 661-3663
- **Mailing address:** 23520 OVERLAND DR STE 134, DULLES, VA 20166-2197
- **Mailing address phone:** (703) 661-3660
- **Mailing address fax:** (703) 661-3663

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2009
- **Last updated:** 01/30/2009