Dentists of Centreville PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTS OF CENTREVILLE PLLC

Practice address

5703 Centre Square Dr
Centreville, VA 20120-1916

Phone

(703) 968-7022

NPI assigned

Oct 10, 2025

Organization subpart

No

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

Authorized official

Name

Dentists of Centreville

Title

Manager

Phone

(703) 968-7022

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1114892882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 CENTRE SQUARE DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201916",
            "telephone_number": "703-968-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 CENTRE SQUARE DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201916",
            "telephone_number": "703-968-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF CENTREVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "CENTREVILLE",
        "authorized_official_first_name": "DENTISTS OF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-968-7022"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rohit Dasgupta, MD
• Lenore L Day, M.D.
• Jacqueline Arnold De Conti, DPT
• Debra L. Tievsky, LCSW, PC
• Joseph Deleon, NCBTMB, OMT, CMRMP
• Dermatology Associates of Northern Virginia
• Kari Montgomery Derohan, PT
• Devantrax Med Sollutions LLC
• Shriyam Dhakal, LCSW
• Melissa Anne Dhas, NP

• General Practice Dentistry in Centreville, VA
• Providers in Centreville, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.