NPIMap

Organization Active NPI

Pediatric Dentistry of Virginia, PLLC

Doing business as Hanover Pediatric Dentistry

  • Pediatric Dentistry
  • Mechanicsville, VA
National Provider Identifier
1295964955
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PEDIATRIC DENTISTRY OF VIRGINIA, PLLC
Doing business as
Hanover Pediatric Dentistry
Sparkle Pediatric Dentistry PLC
Practice address
8203 Center Path LN Ste a
Mechanicsville, VA 23116-4060
Phone
(804) 746-7382
Fax
(804) 746-3025
NPI assigned
Jul 2, 2009
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Dr. Holly Christal Lewis, DMD,MSNPI 1073548947
Title
Ceo/Dentist
Phone
(804) 746-7382

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
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

8203 Center Path LN Ste a
Mechanicsville, VA 23116-4060

Mailing address

8203 Center Path LN Ste a
Mechanicsville, VA 23116-4060
Phone (804) 746-7382

Other practice location 1

11934 W Broad St Ste 120
Henrico, VA 23233-1100
Phone (804) 746-7382

Other names 2

  • Hanover Pediatric Dentistry Doing business as
  • Sparkle Pediatric Dentistry PLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central Virginia Dental Care PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1295964955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 CENTER PATH LN STE A",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231164060",
            "telephone_number": "804-746-7382",
            "fax_number": "804-746-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 CENTER PATH LN STE A",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231164060",
            "telephone_number": "804-746-7382",
            "fax_number": "804-746-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11934 W Broad St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232331100",
            "country_code": "US",
            "telephone_number": "804-746-7382",
            "fax_number": "804-368-1448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF VIRGINIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "CHRISTAL",
        "authorized_official_title_or_position": "CEO/DENTIST",
        "authorized_official_telephone_number": "804-746-7382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanover Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sparkle Pediatric Dentistry PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

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