NPIMap

Organization Active NPI

PVS Dental PLLC

  • General Practice Dentistry
  • Sterling, VA
National Provider Identifier
1285458646
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PVS DENTAL PLLC
Practice address
46400 Benedict Dr Ste 109
Sterling, VA 20164-6605
Phone
(703) 444-3412
NPI assigned
Nov 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Dr. Pavani Gedela, DDSNPI 1669827671
Title
General Dentist
Phone
(415) 889-3003

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

46400 Benedict Dr Ste 109
Sterling, VA 20164-6605

Mailing address

46400 Benedict Dr Ste 109
Sterling, VA 20164-6605
Phone (703) 444-3412

Other practice location 1

101 Hanoverian Ct
Stephens City, VA 22655-4862
Phone (415) 889-3003

National Provider Directory

National Provider Directory

Locations

46400 Benedict Dr
Ste 109
Sterling, VA 20164
Phone (703) 444-3412

Practitioners & affiliated clinicians

Practitioners 3

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": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1285458646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46400 BENEDICT DR STE 109",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201646605",
            "telephone_number": "703-444-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46400 BENEDICT DR STE 109",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201646605",
            "telephone_number": "703-444-3412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Hanoverian Ct",
            "address_purpose": "LOCATION",
            "city": "Stephens City",
            "state": "VA",
            "postal_code": "226554862",
            "country_code": "US",
            "telephone_number": "415-889-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PVS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "GEDELA",
        "authorized_official_first_name": "PAVANI",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "415-889-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

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