# FAMILY DENTAL CARE

> 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:** 1467543900
- **Authorized official:** MRS. DANA LANETTE MUNDY (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (540) 898-8616

## Contact information

- **Practice address:** 10620 COURTHOUSE ROAD, FREDERICKSBURG, VA 22407
- **Practice address phone:** (540) 898-8616
- **Practice address fax:** (540) 898-7755
- **Mailing address:** 10620 COURTHOUSE ROAD, FREDERICKSBURG, VA 22407
- **Mailing address phone:** (540) 898-8616
- **Mailing address fax:** (540) 898-7755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401007440 | VA | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 111828 | BLUE CROSS BLUE SHIELD | VA |
| 01 | — | 902653 | UNITED CONCORIA | VA |