Evelyn Poku-Kwateng, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411567 Issued in VA

Practice address

10398 Bristow Center Dr
Bristow, VA 20136-2201

Phone

(703) 361-0401

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neibauer Dental Care

  • Dentist
  • Fredericksburg, VA
  • NPI 1275790651
  NPD (past)
• Neibauer Dental Care, PC

  • General Practice Dentistry
  • Fredericksburg, VA
  • NPI 1265709919
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1831270396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6068 ALDERDALE PL",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201693257",
            "telephone_number": "703-361-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10398 BRISTOW CENTER DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362201",
            "telephone_number": "703-361-0401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10398 Bristow Center Dr",
            "address_purpose": "LOCATION",
            "city": "Bristow",
            "state": "VA",
            "postal_code": "201362201",
            "country_code": "US",
            "telephone_number": "703-361-0401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POKU-KWATENG",
        "first_name": "EVELYN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deandra Lynn Payne-Allen, LPC
• Pediatrics First Speech Therapy
• Kathleen Lucy Persson, LCSW
• Elvia Del Carmen Pina, LPC
• Steve Thomas Pleickhardt, DDS
• Erica Potter, PHARMD
• Precision Lab Billing LLC
• Primedme Billing LLC
• Primepath Medical Transportation LLC
• Walterlina Quagraine

• General Practice Dentistry in Bristow, VA
• Providers in Bristow, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.