# DENTAL PROFESSIONALS OF VIRGINIA, P.C.

> 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
- **Parent organization:** DENTAL PROFESSIONALS OF VIRGINIA, P.C.
- **Other names:** New Horizons Dental Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992103543
- **Legal business name:** DENTAL PROFESSIONALS OF VIRGINIA, P.C.
- **Authorized official:** KIM WILSON (CRED. SUPERVISOR)
- **Authorized official phone:** (217) 540-5170

## Contact information

- **Practice address:** 1020 ELDEN ST, SUITE 106, HERNDON, VA 20170-3843
- **Practice address phone:** (703) 955-4221
- **Mailing address:** 1020 ELDEN ST, SUITE 106, HERNDON, VA 20170-3843
- **Mailing address phone:** (703) 955-4221

## Taxonomy

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

## Other

- **Enumeration date:** 12/15/2014
- **Last updated:** 12/15/2014