OrganizationActive
Gd Va Gda PLLC
NPI 1699477463 · General Practice Dentistry · Mc Lean, VA
Provider details
- NPI number
- 1699477463
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Chad Hendricks, Credentialing(612) 859-0444
Specialties & taxonomies
Dental Providers
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Profile Score
Established profile(59/100 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
1600 Tysons Blvd Ste 120
Mc Lean, VA 22102-4882
Phone: (703) 527-1020
Street-level locationGet directions
Mailing address
1600 Tysons Blvd Ste 120
Mc Lean, VA 22102-4882
Other names (DBA / former)
- Doing business as
- Galleria Dental Aesthetics
Registry dates
- Enumerated
- 2023-03-17
- Last updated
- 2023-07-05
- Certified
- 2023-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.