Active NPI
Embrey Mill Dentistry PLLC
Doing business as Impact Dental Care
- Dentist
- Stafford, VA
National Provider Identifier
1467197442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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, 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
- Palwinder Kaur
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Gainesville, VA
- NPI 1477748887
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
- Nael Souliman Elmokadem
- Hiba Abbas Elnour, D.M.D
- Embrace Life Comprehensive and Integrative Counseling Services
- Embracing Health LLC
- Embracing Health, Inc.
- Embrey Mill Primary and Urgent Care LLC
- Empower Employment Pathways LLC
- Fatmata Endeley, MSN, BSN, RN.
- Michelle Y Engel, M.A., CCC-SLP
- Hannah Karen England
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.