# PINE TREE DENTAL CARE PLLC

> 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
- **Other names:** Pine Tree Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821830365
- **Authorized official:** KYU LEE VA, MD (DENTIST)
- **Authorized official phone:** (804) 822-6231

## Contact information

- **Practice address:** 14411 JUSTICE RD STE C, MIDLOTHIAN, VA 23113-6907
- **Practice address phone:** (804) 822-6231
- **Mailing address:** 14411 JUSTICE RD STE C, MIDLOTHIAN, VA 23113-6907

## Taxonomy

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

## Other

- **Enumeration date:** 06/06/2024
- **Last updated:** 06/06/2024