Organization Active NPI

Embrey Mill Dentistry PLLC

Doing business as Impact Dental Care

  • Dentist
  • Stafford, VA
National Provider Identifier
1467197442
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
EMBREY MILL DENTISTRY PLLC
Doing business as
Impact Dental Care
Practice address
905 Wonder Rd # 130
Stafford, VA 22554-7798
Phone
(540) 426-1500
NPI assigned
May 3, 2022
Last updated
Jan 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Palwinder KaurNPI 1477748887
Title
Dentist
Phone
(703) 380-1246

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

905 Wonder Rd # 130
Stafford, VA 22554-7798

Mailing address

13308 Regal Crest Dr
Clifton, VA 20124-0979

Other names 1

  • Impact Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

905 Wonder Rd
#130
Stafford, VA 22554
Phone (540) 426-1500

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": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1467197442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13308 REGAL CREST DR",
            "city": "CLIFTON",
            "state": "VA",
            "postal_code": "201240979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 WONDER RD # 130",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547798",
            "telephone_number": "540-426-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBREY MILL DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "PALWINDER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-380-1246"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impact Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.