Playtime Pediatric Dentistry and Orthodontics,PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PLAYTIME PEDIATRIC DENTISTRY AND ORTHODONTICS,PLLC

Practice address

1130 Stafford Market PL # 101
Stafford, VA 22556-4524

Phone

(571) 200-0663

NPI assigned

May 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sasha Lovette Gross

Title

Operations Manager

Phone

(240) 601-3932

Specialties & licenses 2

Addresses

Other names 1

• Lifetime Dental Care Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1073304358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14573 POTOMAC MILLS RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926808",
            "telephone_number": "703-499-9779",
            "fax_number": "703-499-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 STAFFORD MARKET PL # 101",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225564524",
            "telephone_number": "571-200-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYTIME PEDIATRIC DENTISTRY AND ORTHODONTICS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "SASHA",
        "authorized_official_middle_name": "LOVETTE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "240-601-3932"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Stafford, VA
• Providers in Stafford, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.