Organization Active NPI

Village Dental PLLC

  • Dental Clinic/Center
  • Leesburg, VA
National Provider Identifier
1083593008
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VILLAGE DENTAL PLLC
Practice address
1507 Dodona Ter Ste 110
Leesburg, VA 20175-4724
Phone
(703) 669-8688
NPI assigned
Sep 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Krupa Patel, DDSNPI 1871028035
Title
Owner
Phone
(757) 679-6842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1507 Dodona Ter Ste 110
Leesburg, VA 20175-4724

Mailing address

1507 Dodona Ter Ste 110
Leesburg, VA 20175-4724
Phone (703) 669-8688

Other names 1

  • Village Dentistry of Leesburg Doing business as

National Provider Directory

National Provider Directory

Locations

1507 Dodona Ter
Ste 110
Leesburg, VA 20175
Phone (703) 669-8688

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1083593008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 DODONA TER STE 110",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754724",
            "telephone_number": "703-669-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 DODONA TER STE 110",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754724",
            "telephone_number": "703-669-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KRUPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-679-6842",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Dentistry of Leesburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.