Neibauer Dental Care, P.c.

NPI #1033788419 in Stafford, Virginia

Provider Information

NPI Number: 1033788419
Entity Type: Organization
Organization Name: Neibauer Dental Care, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: NEIBAUER DENTAL CARE, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 21, 2021
Last Updated: Jun 21, 2021

Practice Location

Address: 1610 PUBLIX WAY STE 120
City: Stafford
State: Virginia
ZIP Code: 22554-7783
Phone: (540) 779-0395

Authorized Official

Name: CELIA HAYES
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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