ISLE OF WIGHT FAMILY & COSMETIC DENTISTRY PC (NPI# 1124572417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124572417 |
| Entity Type | Organization |
| Organization Name | ISLE OF WIGHT FAMILY & COSMETIC DENTISTRY PC |
| Practice Address |
4053 Taylor Rd Suite J Chesapeake VA 23321-5537 |
| Practice Telephone | 7574842382 |
| Practice Fax Number | 7574842383 |
| Mailing Telephone | 7574842382 |
| Mailing Fax Number | 7574842383 |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |
| Authorized Official Name | DR. BRIAN PATRICK SZAKALY (DIRECTOR) |
| Authorized Official Telephone | 7574842382 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
401411215 | VA | Ambulatory Health Care Facilities |
| Street Address |
4053 TAYLOR RD SUITE J |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23321-5537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306847652 | Vandana Apruva Patel | Internal Medicine | 4053 Taylor Rd, Suite N, Chesapeake, VA 23321-5537 | 2005-08-09 |
| 1316415573 | Kristine Ann Duncan | Nurse Practitioner | 4053 Taylor Rd, Chesapeake, VA 23321-5537 | 2018-11-06 |
| 1689117947 | Andrea Dunn | Physician Assistant | 4053 Taylor Rd, Suite N, Chesapeake, VA 23321-5537 | 2016-11-18 |
| 1679925606 | Tyler Blankenship | Physician Assistant | 4053 Taylor Rd, Suite N, Chesapeake, VA 23321-5537 | 2016-07-01 |
| 1134579998 | Dellyn Matthew | Nurse Practitioner | 4053 Taylor Rd, Suite N, Chesapeake, VA 23321-5537 | 2016-06-13 |
| 1699061812 | January-jill Ogoy | Physician Assistant | 4053 Taylor Rd, Suite N, Chesapeake, VA 23321-5537 | 2011-06-27 |
| 1982862991 | Ear Nose Throat Specilist Portsmouth Inc | Otolaryngology | 4053 Taylor Rd, Suite M, Chesapeake, VA 23321-5537 | 2008-05-27 |
| 1770689648 | Charles Kingman Olson | Dentist | 4053 Taylor Rd, Suite M, Chesapeake, VA 23321-5526 | 2006-09-16 |
| 1437255510 | Portsmouth Pulmonary Associates, Ltd | Internal Medicine | 4053 Taylor Rd, Suite N, Chesapeake, VA 23321-5537 | 2006-09-15 |
| 1366553364 | First Care PC | Family Medicine | 4053 Taylor Rd, Suite K, Chesapeake, VA 23321-5537 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1497382337 | Diversified Transportation Solutions | Meals | 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 | 2020-03-23 |
| 1952895344 | Jasmine Wilkins | Private Vehicle | 4112 Jennifer Cres, Chesapeake, VA 23321 | 2018-06-19 |
| 1891219804 | P & S Home Health Care Solutions | Home Health | 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 | 2017-08-01 |
| 1316467145 | Chelsea Ellison | Occupational Therapist | 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 | 2017-06-22 |
| 1932655313 | Bhg Xli, LLC | Clinic/Center | 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 | 2016-08-26 |
| 1891189429 | Kelly C Diguilio | Social Worker | 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 | 2015-03-20 |
| 1447665336 | Clancey Page | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 | 2014-06-30 |
| 1558786228 | Mary Elizabeth Whitley | Home Health Aide | 3933 Galleon Dr., Chesapeake, VA 23321 | 2014-03-04 |
| Find all providers in zip 23321 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215292255 | Paul E. Prillaman, IIi, Dds, Plc | Clinic/Center | 905 Battlefield Blvd N, 101, Chesapeake, VA 23320-4875 | 2012-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225425465 | Integrative Implant Services, LLC | Clinic/Center | 6845 Elm. St., Ste. 225, Mclean, VA 22102-3834 | 2015-04-24 |
| 1235424557 | Fredericksburg Regional Oral Surgery Center Inc | Clinic/Center | 210 Executive Center Pkwy, Fredericksburg, VA 22401-3107 | 2011-06-15 |
| 1720006661 | Christopher E. Bonacci Dds Md PC | Clinic/Center | 361 Maple Ave W, Suite 200, Vienna, VA 22180-4304 | 2006-07-18 |
| 1538629134 | Eric J Smith Dds PC | Clinic/Center | 22525 Timberlake Rd, Lynchburg, VA 24502-7307 | 2019-03-21 |
| 1922579796 | Eric J Smith Dds PC | Clinic/Center | 22525 Timberlake Rd, Lynchburg, VA 24502-7307 | 2018-12-05 |
| 1386050532 | Tristate Oral Surgery Plc | Clinic/Center | 5659 Columbia Pike, Suite 100, Falls Church, VA 22041-2878 | 2014-07-09 |
| 1831526995 | Northern Virginia Center for Oral and Facial Surgery | Clinic/Center | 4211 Fairfax Corner Ave E, Suite 235, Fairfax, VA 22030-8622 | 2013-10-03 |
| 1891068417 | Middle Peninsula Oral and Facial Surgery LLC | Clinic/Center | 7547 Medical Dr, Gloucester, VA 23061-4351 | 2012-02-13 |
| 1386818136 | Drs. Gold and Abbott, Ltd. | Clinic/Center | 1940 Braeburn Dr, Salem, VA 24153-7383 | 2008-04-14 |
| 1710168570 | Ronald L. Todd, D.d.s. Ltd | Clinic/Center | 1942 Thomson Dr, Lynchburg, VA 24501-1009 | 2007-11-21 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE |
| Zip Code | 23321 |
Please comment or provide details below to improve the information on ISLE OF WIGHT FAMILY & COSMETIC DENTISTRY 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.