# NEIBAUER DENTAL CARE, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEIBAUER DENTAL CARE, PC
- **Other names:** Neibauer Dental Care - Harrison Crossing
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821365248
- **Legal business name:** NEIBAUER DENTAL CARE, PC
- **Authorized official:** PAM HARDIEK (INSURANCE / CREDENTIALING)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 5630 PLANK RD, FREDERICKSBURG, VA 22407-6641
- **Practice address phone:** (540) 548-3602
- **Practice address fax:** (540) 548-4029
- **Mailing address:** 5630 PLANK RD, FREDERICKSBURG, VA 22407-6641
- **Mailing address phone:** (540) 548-3602
- **Mailing address fax:** (540) 548-4029

## Taxonomy

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

## Other

- **Enumeration date:** 11/30/2011
- **Last updated:** 11/30/2011