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Dedicated Dental Pllc

Dental Clinic/Center in Stafford, VA · enumerated 2021 · authorized official Carter Waller, Part Owner Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700469103

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Registry record

Entity type Organization (Type 2)
Legal business name Dedicated Dental Pllc
Practice address 11 Hope Rd Ste 201, Stafford, VA, 22554
Phone (540) 899-1777
Enumeration date May 3, 2021
Last updated in NPPES May 3, 2021

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Carter Waller
Title Part Owner Dentist
Phone (561) 901-4700

Other identifiers

Identifier Type State Issuer
0401413995 Other VA DENTAL LICENSE NUMBER
0401416501 Other VA DENTAL LICENSE NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Dedicated Dental Pllc?
Dedicated Dental Pllc is registered in NPPES as a Dental Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-05-03.