OrganizationActive
Keeton, Gokli, Lubbe, Bridges-Poquis & Raddin,
NPI 1366460107 · Pediatric Dentistry · Midlothian, VA
Provider details
- NPI number
- 1366460107
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Carol Roper, Practice Administrator(804) 739-0963
- License
- 0401410240 (VA)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13841 Hull Street Rd
Suite 4
Midlothian, VA 23112-2056
Phone: (804) 739-0963
Fax: (804) 739-0965
Street-level locationGet directions
Mailing address
13841 Hull Street Rd
Midlothian, VA 23112-2056
Other names (DBA / former)
- Doing business as
- Pediatric Dentistry and Orthodontics of Virginia
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2011-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.