CD VIRGINIA DENTAL, P.C. (NPI# 1083260814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083260814 |
| Entity Type | Organization |
| Organization Name | CD VIRGINIA DENTAL, P.C. |
| Practice Address |
931 Providence Rd Chesapeake VA 23325-4200 |
| Mailing Address |
9825 Kenwood Rd Ste 200 Blue Ash OH 45242-6252 |
| Practice Telephone | 7573660330 |
| Practice Fax Number | 7573660550 |
| Mailing Telephone | 5138084984 |
| Mailing Fax Number | 5134480511 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |
| Authorized Official Name | TY V JUSTICE (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 5138084984 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Konikoff Family Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149789 | Cd Virginia Dental, P.C. | Dentist | 836 First Colonial Rd, Virginia Beach, VA 23451-6126 | 2019-11-27 |
| Street Address |
931 PROVIDENCE RD |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23325-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649318247 | Michael Dale Turck | Dentist | 931 Providence Rd, Chesapeake, VA 23325-0931 | 2007-02-03 |
| 1144790528 | Cd Virginia Dental P.C. | Dentist | 931 Providence Rd, Chesapeake, VA 23325-4200 | 2018-11-28 |
| 1134671514 | Cosmetic Dentistry | Preferred Provider Organization | 931 Providence Rd, Chesapeake, VA 23325-4200 | 2016-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275165532 | Ife Michelle Milligan | Social Worker | 1509 Oleander Ave, Chesapeake, VA 23325 | 2020-02-05 |
| 1558722256 | Denise Simpson | Social Worker | 3004 Elbyrne Drive, Chesapeake, VA 23325 | 2016-03-09 |
| 1124195813 | Cecil J Carroll | Dentist | 4310 Indian River Road, Ste 1, Chesapeake, VA 23325 | 2006-11-29 |
| 1790870665 | Joy Marie Cocchiola | Dentist | 931 Providence Road, Chesapeake, VA 23325 | 2006-10-04 |
| 1396836383 | Ff Acquisition LLC | Durable Medical Equipment & Medical Supplies | 211 15 Providence Rd, Chesapeake, VA 23325 | 2006-09-27 |
| 1326052986 | Larry Howard Kagan | Family Medicine | 1016 Justis St, Chesapeake, VA 23325 | 2006-07-28 |
| 1316476773 | Evelyn Lorraine Dickson | Driver | 2116 Allison Dr, Chesapeake, VA 23325 | 2017-06-08 |
| 1629155122 | Indian River Family Practice PC | Family Medicine | 1016 Justis St, Chesapeake, VA 23325 | 2006-11-01 |
| 1396755948 | Robert Bernard Laibstain | Family Medicine | 1016 Justis St, Chesapeake, VA 23325 | 2006-08-08 |
| 1689207599 | 3 Keys Counseling & Consulting, LLC | Clinic/Center | 3810 Indian River Rd Unit 13074, Chesapeake, VA 23325-1202 | 2020-02-19 |
| Find all providers in zip 23325 | ||||
| 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 |
|---|---|---|---|---|
| 1891305868 | Chanel Von Schlichting | Dentist | 1300 Cedar Rd Ste 100, Chesapeake, VA 23322-7414 | 2020-08-05 |
| 1457980658 | Harold J Marioneaux Jr. | Dentist | 504 Mill Stone Rd, Chesapeake, VA 23322-4367 | 2020-04-08 |
| 1750860623 | Irtiza Ghulam Abbas | Dentist | 1419 Cedar Rd Ste 100, Chesapeake, VA 23322-7492 | 2018-08-10 |
| 1801380134 | Ryan Clark Shuck | Dentist | 3326 Taylor Rd, Chesapeake, VA 23321-2518 | 2018-06-20 |
| 1811406614 | Dental Professionals of Virginia, P.C. | Dentist | 249 Hanbury Rd E Ste 110, Chesapeake, VA 23322-6623 | 2017-09-25 |
| 1114331782 | Darrell L Boyce | Dentist | 1711 Parkview Dr, Chesapeake, VA 23320-2630 | 2014-06-11 |
| 1083037212 | Kenneth E. Grindlay | Dentist | 228 Mount Pleasant Rd., Chesapeake, VA 23322 | 2014-01-23 |
| 1750718177 | Vacendak Dentistry, Pllc | Dentist | 701 Quince Place, Chesapeake, VA 23320 | 2013-09-30 |
| 1376983593 | Shefali Parekh | Dentist | 1533 Volvo Pkwy Ste 100, Chesapeake, VA 23320-8489 | 2013-07-02 |
| 1942565213 | Krystie M Niver | Dentist | 236 Carmichael Way, Suite # 312, Chesapeake, VA 23322-2185 | 2012-07-11 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23325 |
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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.