DONALD EDWIN TIMBERLAKE (NPI# 1174779904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174779904 |
| Entity Type | Individual |
| Full Name | DONALD EDWIN TIMBERLAKE |
| Credential | D.D.S. |
| Practice Address |
21 Scenic Highway, Suite 103 Churchville VA 24421 |
| Mailing Address |
P.o. Box 611 Churchville VA 24421 |
| Practice Telephone | 5403376004 |
| Mailing Telephone | 5403376004 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401004169 | VA | Dental Providers |
| Street Address |
21 SCENIC HIGHWAY, SUITE 103 |
| City | CHURCHVILLE |
| State | VA |
| Zip Code | 24421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831514082 | Megan Sensabaugh Ady | Physician Assistant | 3881 Churchville Avenue, Churchville, VA 24421 | 2014-02-25 |
| 1215912514 | West Augusta Pharmacy | Pharmacy | 21 Scenic Highway, Riverside Plaza, Churchville, VA 24421-0000 | 2005-12-08 |
| 1386637866 | Harry John Lee | Pharmacist | West Augusta Pharmacy, Riverside Plaza, Churchville, VA 24421-0000 | 2005-08-30 |
| 1184820185 | West Augusta Family Practice | Specialist | 21 Scenic Highway, 101, Churchville, VA 24421-0100 | 2007-06-26 |
| 1124518105 | Family Preservation Services, Inc | Community/Behavioral Health | 3710 Churchville Ave, Churchville, VA 24421-2500 | 2018-05-15 |
| 1912999566 | George M Tran | Family Medicine | 3881 Churchville Ave, Churchville, VA 24421-2525 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152892 | Kaylin L Stevenson | Registered Nurse | 99 Bangs Rd, Churchville, NY 14428-9105 | 2020-07-30 |
| 1144843988 | Erica Lorraine Titlow | Counselor | 27 Heather Rd, Churchville, PA 18966-1109 | 2020-05-27 |
| 1265055362 | Sylvia Deanna Harrison | Nurse's Aide | 3516 Level Rd, Churchville, MD 21028-1436 | 2020-05-22 |
| 1700407004 | Ethel M Webb | Contractor | 495 Attridge Road, 2, Churchville, NY 14428-1462 | 2020-04-28 |
| 1225673551 | Samara Daeva Joy Johnson | Specialist/Technologist | 15 Royce Dr, Churchville, NY 14428-8900 | 2019-11-11 |
| 1992348734 | Andrea M Albrecht-haines | Behavioral Analyst | 126 Addis Dr, Churchville, PA 18966-1170 | 2019-10-24 |
| 1477112852 | Melissa Amico | Specialist | 102 Greenway Blvd, Churchville, NY 14428-9208 | 2019-06-10 |
| 1003479734 | Lisa Michelle Dymond | Speech-Language Pathologist | 124 Goucher Way, Churchville, MD 21028-1218 | 2019-04-18 |
| 1861965733 | Maureen Pettis | Registered Nurse | 46 Rochelle Dr, Churchville, NY 14428-9765 | 2019-01-03 |
| 1508359019 | Sandra Fuqua | Behavior Technician | 2923 Grafton Ln, Churchville, MD 21028-1724 | 2018-06-08 |
| Find all providers in CHURCHVILLE | ||||
| 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 |
|---|---|---|---|---|
| 1760643795 | Churchville Dental Care, Inc. | Dentist | 2832a Churchville Rd, Churchville, MD 21028-1620 | 2008-06-23 |
| 1538377965 | Christina Megaludis Tsakiris | Dentist | 2832 A Churchville Road, Churchville, MD 21028 | 2007-05-18 |
| 1780780387 | Linda Barbara Edelson-slocum | Dentist | 5 Cherry Blossom Dr, Churchville, PA 18966-1061 | 2006-09-15 |
| 1437267184 | Robert D. Schubmehl | Dentist | 42-f South Main Street, Churchville, NY 14428 | 2006-08-25 |
| 1952318115 | Larry A. Lentini Dds, PC | Dentist | 114 Bustleton Pike, Churchville, PA 18966 | 2006-08-01 |
| 1891702791 | Larry Arthur Lentini | Dentist | 114 Bustleton Pike, Churchville, PA 18966 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154516 | Kim Ierna Kitchen Dds, PC | Dentist | 500 Montgomery St Ste 250, Alexandria, VA 22314-1558 | 2020-11-05 |
| 1548877194 | Vishakha N Devrukhkar | Dentist | 4011 Wards Rd Ste A, Lynchburg, VA 24502-2943 | 2020-09-28 |
| 1477160547 | Modaresi & Avin Dds Pllc | Dentist | 24805 Pinebrook Rd Ste 112, Chantilly, VA 20152-4127 | 2020-09-23 |
| 1215549654 | Alan Ostrovsky | Dentist | 9225 Doerr Rd # 1220, Fort Belvoir, VA 22060-2204 | 2020-08-18 |
| 1861003576 | Se Eun Ahn | Dentist | 1647 Admiral Taussig Blvd Ste 241, Norfolk, VA 23511-2803 | 2020-08-14 |
| 1891305868 | Chanel Von Schlichting | Dentist | 1300 Cedar Rd Ste 100, Chesapeake, VA 23322-7414 | 2020-08-05 |
| 1952910358 | Erica Vetter | Dentist | 10525 Braddock Rd Ste 9a, Fairfax, VA 22032-2257 | 2020-07-31 |
| 1336758382 | Chitti Mengji | Dentist | 3441 Kilburn Cir Apt 618, Henrico, VA 23233-1137 | 2020-07-27 |
| 1518575851 | Reza Tahernia & Associates Pllc | Dentist | 1901 N Moore St Ste 501, Arlington, VA 22209-1700 | 2020-07-22 |
| 1467060996 | Daniel Kuyk | Dentist | 616 Campus Dr Ste 100, Abingdon, VA 24210-9706 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | CHURCHVILLE |
| Zip Code | 24421 |
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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.