Life Bridge Dental Va Pllc
Orthodontics and Dentofacial Clinic
4201 Wilson Blvd Ste 190, Arlington
Virginia, 22203-4147
212-686-3686 615-468-0325
Maps & DirectionsLife Bridge Dental Va Pllc is a Orthodontics and Dentofacial Clinic in Arlington, Virginia. It is located at 4201 Wilson Blvd Ste 190, Arlington, VA and its contact number is 212-686-3686. The authorized person for Life Bridge Dental Va Pllc is Mr. Kenneth N Sullivan
who is Director Rcm of the clinic and their contact number is 615-601-5250.
Life Bridge Dental Va Pllc Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Life Bridge Dental Va Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Life Bridge Dental Va Pllc |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 4201 Wilson Blvd Ste 190, Arlington,
Virginia, 22203-4147 |
| Phone: | 212-686-3686 |
| Fax: | 615-468-0325 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Kenneth N Sullivan |
| Position: | Director Rcm |
| Contact Number: | 615-601-5250 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Life Bridge Dental Va Pllc clinic are as mentioned below.
| NPI Number: | 1316603939 |
| NPI Enumeration Date: | 09 Nov, 2021 |
| NPI Last Update On: | 09 Nov, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Life Bridge Dental Va Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
| Orthodontics and Dentofacial Orthopedics | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Life Bridge Dental Va Pllc
Dept Ch 18077,
Palatine, Illinois |
| Zip: | 60055-8077 |
| Phone Number: | 212-686-3686 |
| Fax Number: | 615-468-0325 |
Patients can reach Life Bridge Dental Va Pllc at
4201 Wilson Blvd Ste 190, Arlington, Virginia or can
call to book an appointment on 212-686-3686.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.