COLLINSVILLE DENTAL ASSOCIATES, PC (NPI# 1013559327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013559327 |
| Entity Type | Organization |
| Organization Name | COLLINSVILLE DENTAL ASSOCIATES, PC |
| Practice Address |
4940 Kings Mountain Rd Collinsville VA 24078-1812 |
| Mailing Address |
5003 Cobblestone Drive Danville VA 24540-5255 |
| Practice Telephone | 2766341494 |
| Mailing Telephone | 4345485105 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | SANDRA DILLON PAYNE (ADMINISTRATOR) |
| Authorized Official Telephone | 4345484305 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
4940 KINGS MOUNTAIN RD |
| City | COLLINSVILLE |
| State | VA |
| Zip Code | 24078-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558414474 | Michael Eugene Lavinder | Dentist | 4940 Kings Mountain Rd, Collinsville, VA 24078-1826 | 2007-01-22 |
| 1912525205 | Jessica Khiet Quach | Dentist | 4940 Kings Mountain Rd, Collinsville, VA 24078-1812 | 2020-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603434 | Allyson C Dillard | Non-emergency Medical Transport (VAN) | 1998 Virginia Ave Suite A, Collinsville, VA 24078 | 2020-06-09 |
| 1366654808 | Pediatric Dental Care of Virginia | Dentist | 5126 King's Mountain Road, Collinsville, VA 24078 | 2007-05-04 |
| 1114054699 | John William Rhoday | Dentist | 4721 King's Mountain Road, Collinsville, VA 24078 | 2007-02-28 |
| 1205841939 | Denise J Unterbrink | Dentist | 2200 Daniels Creek Rd, Collinsville, VA 24078 | 2006-07-30 |
| 1861414062 | Stephen P Kieselbach | Chiropractor | 3408-1 Virginia Ave., Collinsville, VA 24078 | 2006-07-24 |
| 1114254877 | Julie Brown | Optometrist | 4244 Virginia Ave, Collinsville, VA 24078 | 2009-11-17 |
| 1548491293 | Shannon Marie Zollinger | Optometrist | 4244 Virginia Ave, Collinsville, VA 24078 | 2009-07-29 |
| 1871828756 | Family Preservation Services, Inc | Community/Behavioral Health | 15 Primary School Rd, Collinsville, VA 24078-1104 | 2009-10-09 |
| 1811546831 | Renita Mayhan | Licensed Practical Nurse | 200 Terrace Garden Dr, Collinsville, VA 24078-1134 | 2019-09-11 |
| 1720169378 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 4811 Kings Mountain Rd, Collinsville, VA 24078-1273 | 2006-10-18 |
| Find all providers in zip 24078 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574146 | Dallas Lee Pineda | Dentist | 101 United Dr Ste 150, Collinsville, IL 62234-7439 | 2020-06-29 |
| 1891176897 | Adam Fritzgerald | Dentist | 473 Parkside Commons Ct, Collinsville, IL 62234-4488 | 2015-06-15 |
| 1114054699 | John William Rhoday | Dentist | 4721 King's Mountain Road, Collinsville, VA 24078 | 2007-02-28 |
| 1558414474 | Michael Eugene Lavinder | Dentist | 4940 Kings Mountain Rd, Collinsville, VA 24078-1826 | 2007-01-22 |
| 1639230964 | Kenneth James Kosten | Dentist | 500 St Louis Rd, Collinsville, IL 62234-2437 | 2006-12-12 |
| 1558435941 | Larry Herbert Rapp | Dentist | 500 Saint Louis Rd, Collinsville, IL 62234-2437 | 2006-11-20 |
| 1659469666 | Daniel J Mcatee | Dentist | 217 W Clay St, Collinsville, IL 62234-3219 | 2006-10-11 |
| 1477640449 | David Parke Maier | Dentist | 1170 Belt Line Rd, Collinsville, IL 62234-4372 | 2006-10-09 |
| 1881792273 | Ross Finley Gale | Dentist | 4248 Virginia Ave, Collinsville, VA 24078-1935 | 2006-09-20 |
| 1710092432 | Gerard Edward-zackary Bogucki | Dentist | 66 Maple Avenue, Collinsville, CT 06019 | 2006-08-20 |
| Find all providers in COLLINSVILLE | ||||
| City | COLLINSVILLE |
| Zip Code | 24078 |
Please comment or provide details below to improve the information on COLLINSVILLE DENTAL ASSOCIATES, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.