# DENTAL PROFESSIONALS OF VIRGINIA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL PROFESSIONALS OF VIRGINIA, P.C.
- **Other names:** Smiles at Beauregard Square
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417681487
- **Legal business name:** DENTAL PROFESSIONALS OF VIRGINIA, P.C.
- **Authorized official:** COURTNEY MONTEITH (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8306

## Contact information

- **Practice address:** 6303 LITTLE RIVER TPKE STE 140, ALEXANDRIA, VA 22312-5045
- **Practice address phone:** (703) 256-7700
- **Mailing address:** 6303 LITTLE RIVER TPKE STE 140, ALEXANDRIA, VA 22312-5045

## Taxonomy

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

## Other

- **Enumeration date:** 07/14/2022
- **Last updated:** 07/14/2022