ATLANTIC FAMILY DENTISTRY PLLC. (NPI# 1063880771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063880771 |
| Entity Type | Organization |
| Organization Name | ATLANTIC FAMILY DENTISTRY PLLC. |
| Practice Address |
4867 Baxter Rd Suite #101 Virginia Beach VA 23462-4469 |
| Practice Telephone | 9196236692 |
| Mailing Telephone | 9196236692 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |
| Authorized Official Name | DR. MUHANAD AWNI SALEM (DENTIST) |
| Authorized Official Telephone | 9196236692 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401414313 | VA | Dental Providers |
| Street Address |
4867 BAXTER RD SUITE #101 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-4469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134129810 | Thomas Raymond Skelton | Chiropractor | 4867 Baxter Rd, Suite 107, Virginia Beach, VA 23462-4469 | 2005-07-26 |
| 1467662197 | Executive Health Care PC | Family Medicine | 4867 Baxter Rd, Suite 105, Virginia Beach, VA 23462-4469 | 2007-05-23 |
| 1407992423 | Jay Bradley Berkowitz | Chiropractor | 4867 Baxter Rd, Suite 107, Virginia Beach, VA 23462-4469 | 2007-01-29 |
| 1225189665 | Dale Larrie Mallory | Dentist | 4867 Baxter Rd, Suite 101, Virginia Beach, VA 23462-4469 | 2007-01-14 |
| 1790844900 | Dr Jay B Berkowitz Dc PC | Clinic/Center | 4867 Baxter Rd, Suite 107, Virginia Beach, VA 23462-4469 | 2006-12-06 |
| 1356387013 | Elliot David Sherman | Chiropractor | 4867 Baxter Rd, Suite 107, Virginia Beach, VA 23462-4469 | 2006-06-21 |
| 1417900119 | Kamal Selim Louka | Family Medicine | 4867 Baxter Rd, Suite 105, Virginia Beach, VA 23462-4469 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909731 | Kimia Khoshroo | Dentist | 1444 Kempsville Rd Ste 101, Virginia Beach, VA 23464-7302 | 2020-10-13 |
| 1811523459 | Kerin E Gustafson | Dentist | 2204 General Booth Blvd Ste 400, Virginia Beach, VA 23454-5934 | 2020-03-16 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1427602754 | Jennifer Matika | Dentist | 397 Little Neck Rd Ste 101, Virginia Beach, VA 23452-5771 | 2019-07-25 |
| 1801309596 | Thomas A Mckee Dds PC | Dentist | 5261 Challedon Dr, Virginia Beach, VA 23462-6315 | 2017-11-16 |
| 1215463963 | E James Reitano, Dds | Dentist | 6062 Indian River Rd, Suite 103, Virginia Beach, VA 23464-3821 | 2017-05-01 |
| 1841736634 | Dmitry Keysalov | Dentist | 1074 Grand Oak Ln, Virginia Beach, VA 23455-7218 | 2017-01-17 |
| 1821478223 | Sarah George | Dentist | 142 Independence Blvd, Virginia Beach, VA 23462-6718 | 2015-06-02 |
| 1396124509 | Hoang Ho | Dentist | 1909 Landstown Centre Way Ste 100, Virginia Beach, VA 23456-1625 | 2015-05-20 |
| 1043698145 | Julie Ball, Dmd | Dentist | 1515 Lynnhaven Pkwy, Virginia Beach, VA 23453-2054 | 2015-05-11 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
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| 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.