# SMILES OF VIRGINIA FAMILY DENTAL CENTER, PLLC

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

## Provider details

- **NPI number:** 1568820702
- **Authorized official:** DR. NIELS OESTERVEMB D.D.S. (OWNER)
- **Authorized official phone:** (319) 936-9008

## Contact information

- **Practice address:** 633 CEDAR CREEK GRADE, WINCHESTER, VA 22601-2708
- **Practice address phone:** (540) 450-2100
- **Mailing address:** 633 CEDAR CREEK GRADE, WINCHESTER, VA 22601-2708
- **Mailing address phone:** (540) 450-2100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/02/2016
- **Last updated:** 03/29/2024