Active NPI
Nova Dental Works
- Dental Clinic/Center
- Centreville, VA
National Provider Identifier
1417879321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.