OrganizationActive
Neibauer Dental Care, P.C.
NPI 1396012936 · Dentist · Henrico, VA
Neibauer Dental Care, P.C. is a Dentist organization in Henrico, VA (NPI 1396012936).
Provider details
- NPI number
- 1396012936
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Neibauer Dental Care, PC
- Organization subpart
- Yes
- Authorized official
- All Credentialing, Credentialing Coordinator(217) 540-2100
- License
- 0401412223 (VA)
Specialties & taxonomies
Dental Providers
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
12244 W Broad St
Henrico, VA 23233-1062
Phone: (804) 360-8890
Fax: (804) 360-8894
Street-level locationGet directions
Mailing address
12244 W Broad St
Henrico, VA 23233-1062
Other names (DBA / former)
- Doing business as
- Lifetime Dentistry at Short Pump
- Doing business as
- Lifetime Dentistry at Short Pump
Registry dates
- Enumerated
- 2011-11-28
- Last updated
- 2022-10-28
- Certified
- 2022-10-28
Frequently asked questions
- What is Neibauer Dental Care, P.C.'s NPI number?
- Neibauer Dental Care, P.C.'s National Provider Identifier (NPI) is 1396012936, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Neibauer Dental Care, P.C.?
- Neibauer Dental Care, P.C. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Neibauer Dental Care, P.C. located?
- Neibauer Dental Care, P.C.'s practice location on file with NPPES is 12244 W Broad St, Henrico, VA 23233-1062.
- What is Neibauer Dental Care, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Neibauer Dental Care, P.C. is (804) 360-8890.
- Who is the authorized official for Neibauer Dental Care, P.C.?
- The authorized official listed on Neibauer Dental Care, P.C.'s NPPES record is All Credentialing, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Neibauer Dental Care, P.C.'s NPI active?
- Yes — Neibauer Dental Care, P.C.'s NPI (1396012936) is active in the NPPES registry as of the last update on 2022-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.