DR. WALTER J SERWATKA (NPI# 1134215734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134215734 |
| Entity Type | Individual |
| Full Name | DR. WALTER J SERWATKA |
| Credential | D.D.S. |
| Practice Address |
1792 Carriage Dr Hampton VA 23664-1751 |
| Practice Telephone | 7578504975 |
| Mailing Telephone | 7578504975 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
3332 | ME | Dental Providers |
| Street Address |
1792 CARRIAGE DR |
| City | HAMPTON |
| State | VA |
| Zip Code | 23664-1751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669030920 | Living A Blessed Life Home Health Care | Home Health | 364 N First Street, Hampton, VA 23664 | 2019-06-03 |
| 1518217959 | Nicholas J Kenney | Behavioral Analyst | 15 Seaview Dr, Hampton, VA 23664-1027 | 2012-09-13 |
| 1538496625 | Suzanne Claire Loughman | Counselor | 151 Atlantic Ave, Suite C, Hampton, VA 23664-1087 | 2009-11-10 |
| 1669855011 | David Miller | Dentist | 131 Atlantic Ave, Unit B, Hampton, VA 23664-1095 | 2015-07-02 |
| 1437314754 | Wormill Inc. | Durable Medical Equipment & Medical Supplies | 2002 E Pembroke Ave, Hampton, VA 23664-1111 | 2008-07-25 |
| 1467920710 | Maria Lana Rudd | Respiratory Therapist, Registered | 2122 E Pembroke Ave, Hampton, VA 23664-1113 | 2018-11-05 |
| 1255958047 | Terri Dejuana Gilliam | Nurse Practitioner | 23 Northcutt Dr, Hampton, VA 23664-1179 | 2020-06-29 |
| 1982152765 | Ardelia Williams | Case Manager/Care Coordinator | 2502 E Pembroke Ave, Hampton, VA 23664-1246 | 2016-09-21 |
| 1922557164 | Debra La Salvia | Case Manager/Care Coordinator | 2502 E Pembroke Ave, Hampton, VA 23664-1246 | 2016-09-29 |
| 1134530157 | Victoria Stutts | Dietitian, Registered | 2610 E Pembroke Ave, Hampton, VA 23664-1248 | 2014-05-13 |
| Find all providers in zip 23664 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609890730 | Michael J. Kokorelis | Dentist | 2113 Hartford Rd, Hampton, VA 23666-2575 | 2006-07-26 |
| 1669692547 | Michael J. Kokorelis, Dmd, Inc. | Dentist | 2113 Hartford Rd, Hampton, VA 23666-2575 | 2007-04-26 |
| 1619938966 | Michael John Kaurich | Dentist | 100 Emancipation Dr, Va Medical Center, Hampton, VA 23667-0001 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361471 | Lisa A. Marvil, D.m.d., P.l.l.c. | Dentist | 17341-b Pickwick Drive, Purcellville, VA 20132 | 2020-09-16 |
| 1720624307 | Deena Hadithi Dmd, PC. | Dentist | 7210 Old Keene Mill Rd Ste 3, Springfield, VA 22150-3442 | 2019-11-19 |
| 1689223836 | Alka Panwar | Dentist | 4319 Dale Blvd Ste 6, Woodbridge, VA 22193-2401 | 2019-09-10 |
| 1801445135 | Neha Agarwal | Dentist | 23386 Epperson Sq, Brambleton, VA 20148-5794 | 2019-09-09 |
| 1164999181 | Smba Dentistry, Pllc | Dentist | 2801 Mcrae Rd Ste C1, North Chesterfield, VA 23235-3056 | 2018-10-29 |
| 1750860516 | Khashayar Kordbacheh Changi | Dentist | 3543 W Braddock Rd Ste E2, Alexandria, VA 22302-1903 | 2018-08-11 |
| 1205314309 | Shivangi B Amin | Dentist | 2420 Old Brick Rd Apt 1315, Glen Allen, VA 23060-5995 | 2018-07-31 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1740793355 | Amy Ton Dds Pllc | Dentist | 11868 Sunrise Valley Dr Ste 100, Reston, VA 20191-3320 | 2017-11-06 |
| 1023539301 | Denver James Lyons | Dentist | 521 N 11th St # 980566, Richmond, VA 23298-5045 | 2017-06-27 |
| 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.