Active NPI
Fredericksburg Endodontics PLLC
- Endodontics
- Fredericksburg, VA
National Provider Identifier
1720950835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- FREDERICKSBURG ENDODONTICS PLLC
- Practice address
- 10039 Patriot Hwy
Fredericksburg, VA 22407-9418 - Phone
- (540) 225-1605
- NPI assigned
- Sep 18, 2025
- 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
- Chad Hendricks
- Title
- Credentialing
- Phone
- (612) 859-0444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary |
Addresses
Primary practice location
10039 Patriot Hwy
Fredericksburg, VA 22407-9418
Mailing address
10039 Patriot Hwy
Fredericksburg, VA 22407-9418
Phone (540) 225-1605
National Provider Directory
National Provider DirectoryLocations
10039 Patriot Hwy
Fredericksburg, VA 22407
Phone (540) 225-1605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758153600000",
"number": "1720950835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10039 PATRIOT HWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224079418",
"telephone_number": "540-225-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10039 PATRIOT HWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224079418",
"telephone_number": "540-225-1605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREDERICKSBURG ENDODONTICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-18",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A",
"authorized_official_last_name": "HENDRICKS",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "612-859-0444"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
- Fredericksburg Dental Professionals,PLLC
- Fredericksburg Dentist and Implant Center, Inc.
- Fredericksburg Dermatologic Associates PC
- Fredericksburg DME
- Fredericksburg Emergency Medical Alliance, Inc.
- Fredericksburg Endoscopy Center, LLC
- Fredericksburg Eyecare LLC
- Fredericksburg Family Dentistry
- Fredericksburg Fitness, Inc.
- Fredericksburg Geriatric Medicine, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.