Organization Active NPI

Nova Dental Works

  • Dental Clinic/Center
  • Centreville, VA
National Provider Identifier
1417879321
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NOVA DENTAL WORKS
Practice address
6130 Redwood Square Ctr Ste a
Centreville, VA 20121-2636
Phone
(571) 713-3210
NPI assigned
Jul 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Paul Han Ju Lee, DDS
Title
Ceo, Head Dentist
Phone
(571) 713-3210

Specialties & licenses 1

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

Addresses

Primary practice location

6130 Redwood Square Ctr Ste a
Centreville, VA 20121-2636

Mailing address

6130 Redwood Square Ctr Ste a
Centreville, VA 20121-2636
Phone (571) 713-3210

Other names 1

  • NOVA Dental Works Doing business as

National Provider Directory

National Provider Directory

Locations

6130 Redwood Square Ctr
Ste A
Centreville, VA 20121

NPI Registry JSON

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1417879321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 REDWOOD SQUARE CTR STE A",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212636",
            "telephone_number": "571-713-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 REDWOOD SQUARE CTR STE A",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212636",
            "telephone_number": "571-713-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA DENTAL WORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "HAN JU",
        "authorized_official_title_or_position": "CEO, HEAD DENTIST",
        "authorized_official_telephone_number": "571-713-3210",
        "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": "NOVA Dental Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.