NOVA MICROENDODONTICS (NPI# 1093861395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093861395 |
| Entity Type | Organization |
| Organization Name | NOVA MICROENDODONTICS |
| Other Organization Name | BESNERFABIOBRAMWELL DENTAL ASSOCIATES |
| Practice Address |
6120 Brandon Ave 314 Springfield VA 22150-2522 |
| Practice Telephone | 7035690000 |
| Mailing Telephone | 7035690000 |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL ANTHONY FABIO (VICEPRESIDENT) |
| Authorized Official Telephone | 7035690000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| BesnerFabioBramwell Dental Associates | Former Legal Business Name - Organization |
| Street Address |
6120 BRANDON AVE 314 |
| City | SPRINGFIELD |
| State | VA |
| Zip Code | 22150-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497753529 | Ginger F Beecher | Nurse Practitioner | 6120 Brandon Ave, Suite 308, Springfield, VA 22150-2522 | 2005-07-12 |
| 1992289425 | Jacob Levi Priluck | Clinical Neuropsychologist | 6120 Brandon Ave, Springfield, VA 22150-2522 | 2018-09-20 |
| 1265802912 | Ahmed Elghobashi | Dentist | 6120 Brandon Ave, Ste 214, Springfield, VA 22150-2522 | 2015-10-06 |
| 1306214580 | Quality Counseling Services | Marriage & Family Therapist | 6120 Brandon Ave, Suite 116, Springfield, VA 22150-2522 | 2015-09-04 |
| 1013260983 | Springfield Oral Surgery, PC | Dentist | 6120 Brandon Ave, Suite 301, Springfield, VA 22150-2522 | 2012-10-17 |
| 1528345964 | Kay Dreyer Watkins | Marriage & Family Therapist | 6120 Brandon Ave, Springfield, VA 22150-2522 | 2011-11-14 |
| 1962788190 | Sean Patrick Kelliher | Dentist | 6120 Brandon Ave, Suite 211, Springfield, VA 22150-2522 | 2011-11-02 |
| 1578844742 | Julie Anne Todd | Nurse Practitioner | 6120 Brandon Ave, Springfield, VA 22150-2522 | 2011-09-01 |
| 1376833525 | Brain Matters, Pllc | Clinic/Center | 6120 Brandon Ave, #315, Springfield, VA 22150-2522 | 2011-04-08 |
| 1861796294 | Deborah C Gale | Speech-Language Pathologist | 6120 Brandon Ave, #315, Springfield, VA 22150-2522 | 2010-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083086946 | Karla Maria Bonilla Chico | Dentist | Privada Monte Everest 1982-14, Residencial La Cuspide, Tijuana, BAJA CALIFORNIA 22150 | 2015-10-30 |
| 1093108219 | Ezra Healthcare, Inc | Home Health | 6803 Backlick Road, Suit 'b', Springfield, VA 22150 | 2015-03-12 |
| 1144611567 | Grace Home Care, LLC | Home Health | 5827 Columbia Pike Suite 211, Springfield, VA 22150 | 2015-02-06 |
| 1174938245 | Rocio Robles | Speech-Language Pathologist | 7001 A Loisdale Road, Springfield, VA 22150 | 2014-06-26 |
| 1538598149 | Johns Hopkins Pharmaquip, Inc. | Durable Medical Equipment & Medical Supplies | 7411 Alban Station Court, Suite A100, Springfield, VA 22150 | 2013-11-04 |
| 1861785958 | Sienna Vorono Winer | Pediatrics | 6501 Loisdale Ct., Springfield, VA 22150 | 2011-05-23 |
| 1023342870 | M & T Universal Health Services, LLC | Home Health | 6315 Backlick Rd Ste 308, Springfield, VA 22150 | 2009-09-28 |
| 1316127533 | Yong Hyun Kim | Dentist | 6525-c Frontier Dr., Springfield, VA 22150 | 2007-11-05 |
| 1437234655 | Metropolitan Radiology Assoc Chtd | Radiology | 6128 Brandon Avenue, Suite 205, Springfield, VA 22150 | 2006-10-26 |
| 1033217179 | Allison Nayer | Occupational Therapist | The Chesapeake Center, Inc., 6506 Loisdale Rd., Suite 300, Springfield, VA 22150 | 2006-09-20 |
| Find all providers in zip 22150 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134782592 | Endodontics of Springfield | Dentist | 997 Clock Tower Dr Ste C, Springfield, IL 62704-1399 | 2019-04-20 |
| 1831671353 | Sachin Rastogi Dmd Pllc | Dentist | 6116 Rolling Rd Ste 304, Springfield, VA 22152-1512 | 2018-08-31 |
| 1992955405 | Greater Springfield Endodontics Partnership | Dentist | 2808 S Ingram Mill Rd, Building C108, Springfield, MO 65804-4079 | 2008-09-22 |
| 1023213758 | Reza Fardshisheh | Dentist | 6120 Brandon Ave Ste 314, Springfield, VA 22150-2504 | 2007-06-21 |
| 1396888426 | Carol A Mccall | Dentist | 1358 E Kingsley St, Suite E, Springfield, MO 65804-7216 | 2007-02-15 |
| 1801936570 | Western Mass Endodontics PC | Dentist | 15 Liberty Street, Western Mass Endodontics, Springfield, MA 01103 | 2007-02-08 |
| 1386795193 | Gerald Lane Stephenson | Dentist | 3331 E Montclair St, Suite A, Springfield, MO 65804-4785 | 2007-01-16 |
| 1871665232 | David James Hurt | Dentist | 1201 S Veterans Pkwy Ste E, Springfield, IL 62704-6342 | 2006-11-14 |
| 1215008008 | Stewart A. Hinkley | Dentist | 1990 Kingsgate Rd # B, Springfield, OH 45502-8224 | 2006-11-13 |
| 1063591089 | Mark Allen Massey | Dentist | 4350 S National Ave Ste B122, Springfield, MO 65810-2658 | 2006-11-02 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 22150 |
Please comment or provide details below to improve the information on NOVA MICROENDODONTICS.
| 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.