COMMONWEALTH PEDIATRIC DENTISTRY, PLLC (NPI# 1063955250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063955250 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH PEDIATRIC DENTISTRY, PLLC |
| Practice Address |
201 A St Farmville VA 23901-1613 |
| Practice Telephone | 4348081657 |
| Practice Fax Number | 4347104030 |
| Mailing Telephone | 4348081657 |
| Mailing Fax Number | 4347104030 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | DR. ANDREW ZIMA JR. (DENTIST/OWNER) |
| Authorized Official Telephone | 4348081657 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL VIRGINIA DENTAL CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982140620 | Commonwealth Pediatric Dentistry, Pllc | Dentist | 6661 Lake Harbour Dr, Midlothian, VA 23112-2082 | 2017-01-18 |
| 1356860134 | Commonwealth Pediatric Dentistry, Pllc | Dentist | 7032 Forest Hill Ave, Richmond, VA 23225-1655 | 2017-09-13 |
| 1033559059 | Commonwealth Pediatric Dentistry, Pllc | Dentist | 201 A St, Farmville, VA 23901-1613 | 2013-07-05 |
| Street Address |
201 A ST |
| City | FARMVILLE |
| State | VA |
| Zip Code | 23901-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225057979 | Samuel A. Martin Jr. | Optometrist | 201 A St, Farmville, VA 23901-1613 | 2006-07-19 |
| 1033559059 | Commonwealth Pediatric Dentistry, Pllc | Dentist | 201 A St, Farmville, VA 23901-1613 | 2013-07-05 |
| 1770878647 | James Ray Stephens | Dentist | 201 A St, Farmville, VA 23901-1613 | 2011-06-17 |
| 1558511063 | Andrew David Zima Jr. | Dentist | 201 A St, Farmville, VA 23901-1613 | 2008-09-22 |
| 1265692131 | S.a.martin, Jr. Od PC | Optometrist | 201 A St, Suite B, Farmville, VA 23901-1613 | 2008-06-13 |
| 1568484962 | Charles R Green | Dentist | 201 A St, Farmville, VA 23901-1613 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1184269870 | Louis Lee Huddleston | Counselor | 502 Beech Street, Farmville, VA 23901 | 2019-11-17 |
| 1447706668 | Alison Cameron | Specialist/Technologist | 3152 Allen Farm Road, Farmville, VA 23901 | 2016-08-28 |
| 1508236977 | Sarah Trimble | Social Worker | 833 Buffalo Street Suite 200, Suite 200 Po Drawer Q, Farmville, VA 23901 | 2015-09-29 |
| 1437532306 | Tara Ross-barksdale | Counselor | 129 Walnut Lane, Farmville, VA 23901 | 2015-07-09 |
| 1770997660 | Ronda L Walker | Speech-Language Pathologist | 315 West Third Street, Farmville, VA 23901 | 2014-06-18 |
| 1598191165 | Stephen Stone | Physician Assistant | 1706 East 3rd Street, Farmville, VA 23901 | 2013-09-16 |
| 1558637611 | Jeffrey Sargent | Physical Therapy Assistant | 800 0ak St, Farmville, VA 23901 | 2012-03-22 |
| 1497068217 | Family Preservation Services, Inc. | Community/Behavioral Health | 1825 East Third Street, Farmville, VA 23901 | 2010-07-21 |
| 1467781419 | Aime Spencer | Counselor | 232 Ridgeway Drive, Farmville, VA 23901 | 2009-12-21 |
| Find all providers in zip 23901 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033559059 | Commonwealth Pediatric Dentistry, Pllc | Dentist | 201 A St, Farmville, VA 23901-1613 | 2013-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998878 | Nadgie Ortiz Diaz Dmd Pllc | Dentist | 24560 Southpoint Dr Ste 240, Aldie, VA 20105-3505 | 2020-09-24 |
| 1154948289 | Cardinal Pediatric Dentistry Pllc | Dentist | 11551 Nuckols Rd Ste H, Glen Allen, VA 23059-5565 | 2020-07-06 |
| 1043842214 | Funpedopark LLC | Dentist | 1009 Centerbrooke Ln Ste 210, Suffolk, VA 23434-8664 | 2020-02-06 |
| 1861023251 | Bitty Bites Pediatric Dentistry Inc. | Dentist | 11600 Busy St Ste 101, North Chesterfield, VA 23236-4066 | 2020-02-04 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1770149742 | Noeen Arshad | Dentist | 129 University Blvd Ste A, Harrisonburg, VA 22801-3751 | 2019-05-15 |
| 1609353499 | Prachi Chandalia | Dentist | 609 E Monroe Ave, Alexandria, VA 22301-3020 | 2018-07-24 |
| 1255817730 | Fusion Dental | Dentist | 1401 Chain Bridge Rd, Mc Lean, VA 22101-6026 | 2018-07-17 |
| 1952897050 | Danielle Miller | Dentist | 11934 W Broad St Ste 120, Henrico, VA 23233-1100 | 2018-07-02 |
| 1063929057 | Anna Maria Boggs, Dmd, PC | Dentist | 1947 A Medical Ave, Harrisonburg, VA 22801 | 2017-12-29 |
| Find all providers with the same taxonomy | ||||
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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.