What is Va Southern Dental Ppo PC's NPI number?

Va Southern Dental Ppo PC's National Provider Identifier (NPI) is 1508718750, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Va Southern Dental Ppo PC?

Va Southern Dental Ppo PC is classified in the NPPES registry as Dentist (Dental Providers).

Where is Va Southern Dental Ppo PC located?

Va Southern Dental Ppo PC's practice location on file with NPPES is 4330 Evergreen Ln Ste F1, Annandale, VA 22003-3258.

What is Va Southern Dental Ppo PC's phone number?

The practice phone number listed in the NPPES registry for Va Southern Dental Ppo PC is (703) 941-2763.

Who is the authorized official for Va Southern Dental Ppo PC?

The authorized official listed on Va Southern Dental Ppo PC's NPPES record is Erika Menjivar, Sr. Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Va Southern Dental Ppo PC's NPI active?

Yes — Va Southern Dental Ppo PC's NPI (1508718750) is active in the NPPES registry as of the last update on 2026-02-11.

OrganizationActive

Va Southern Dental Ppo PC

NPI 1508718750 · Dentist · Annandale, VA

Va Southern Dental Ppo PC is a Dentist organization in Annandale, VA (NPI 1508718750).

Provider details

NPI number: 1508718750
Entity type: Organization
Primary specialty: DentistDental Providers
Parent organization: Va Southern Dental Ppo PC
Organization subpart: Yes
Authorized official: Erika Menjivar, Sr. Credentialing Specialist(469) 596-6137

Practice location

4330 Evergreen Ln Ste F1

Annandale, VA 22003-3258

Phone: (703) 941-2763

Street-level locationGet directions

More VA providers

Mailing address

5830 Granite Pkwy Ste 780

Plano, TX 75024-6775

Specialties & taxonomies

DentistPrimary122300000X
Dental Providers

Other names (DBA / former)

Doing business as: Yen Le DDS

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in 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.

Enumerated: 2026-02-11
Last updated: 2026-02-11
Certified: 2026-02-11

Frequently asked questions

What is Va Southern Dental Ppo PC's NPI number?: Va Southern Dental Ppo PC's National Provider Identifier (NPI) is 1508718750, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Va Southern Dental Ppo PC?: Va Southern Dental Ppo PC is classified in the NPPES registry as Dentist (Dental Providers).
Where is Va Southern Dental Ppo PC located?: Va Southern Dental Ppo PC's practice location on file with NPPES is 4330 Evergreen Ln Ste F1, Annandale, VA 22003-3258.
What is Va Southern Dental Ppo PC's phone number?: The practice phone number listed in the NPPES registry for Va Southern Dental Ppo PC is (703) 941-2763.
Who is the authorized official for Va Southern Dental Ppo PC?: The authorized official listed on Va Southern Dental Ppo PC's NPPES record is Erika Menjivar, Sr. Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Va Southern Dental Ppo PC's NPI active?: Yes — Va Southern Dental Ppo PC's NPI (1508718750) is active in the NPPES registry as of the last update on 2026-02-11.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions