OrganizationActive
Dental Professionals of Virginia, P.C.
NPI 1417675109 · General Practice Dentistry · Winchester, VA
Provider details
- NPI number
- 1417675109
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Dental Professionals of Virginia, P.C.
- Organization subpart
- Yes
- Authorized official
- Hillary Thull, Credentialing Coordinator(217) 540-8946
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
615 E Jubal Early Dr
Winchester, VA 22601-5178
Phone: (540) 360-1100
Street-level locationGet directions
Mailing address
615 E Jubal Early Dr
Winchester, VA 22601-5178
Other names (DBA / former)
- Doing business as
- Blue Mountain Dental Care
Registry dates
- Enumerated
- 2022-08-18
- Last updated
- 2024-12-10
- Certified
- 2024-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.