PRIME FAMILY DENTISTRY, PLLC (NPI# 1255832234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255832234 |
| Entity Type | Organization |
| Organization Name | PRIME FAMILY DENTISTRY, PLLC |
| Practice Address |
24805 Pinebrook Rd # 316 Chantilly VA 20152-4126 |
| Mailing Address |
22917 Emerald Chase Pl Ashburn VA 20148-6446 |
| Practice Telephone | 7034031304 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |
| Authorized Official Name | DR. SUBHA C YERABOLLU (DENTIST) |
| Authorized Official Telephone | 7034031304 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
24805 PINEBROOK RD # 316 |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20152-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982835641 | Subha C Yerabollu | Dentist | 24805 Pinebrook Rd # 316, Chantilly, VA 20152-4126 | 2009-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669751 | Joy Chirnside Mclaughlin | Physical Therapist | 26097 Iverson Drive, Chantilly, VA 20152 | 2020-11-04 |
| 1972132090 | Alissa S Rexo | Specialist | 25251 Beach Place, Chantilly, VA 20152 | 2020-04-02 |
| 1982178620 | South Riding Modern Dentistry, PC | Dentist | 25421 Lizzio Center Dr., Suite 190, Chantilly, VA 20152 | 2019-01-16 |
| 1154897627 | Nicole Hong | Dentist | 25273 Nesting Sq, Chantilly, VA 20152 | 2018-10-22 |
| 1437586369 | Chiron Physical Therapy LLC | Physical Therapist | 48130 Amberwood Plaza, Suite 100, South Riding, VA 20152 | 2013-10-10 |
| 1376772178 | Gloria Seon-young Kim | Dentist | 24805 Pinebrook Rd # 311, Chantilly, VA 20152 | 2009-07-14 |
| 1992955777 | Sohaib S. Elsayed | Family Medicine | 25055 Riding Plz Ste 220, South Riding, VA 20152 | 2008-09-29 |
| 1538328067 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 24795 Pinebrook Rd, South Riding, VA 20152 | 2008-06-09 |
| 1790970556 | Irfan Galaria | Plastic Surgery | 24805 Pinebrook Road, Suite #154, Chantilly, VA 20152 | 2007-09-13 |
| 1316150881 | Dina Gottesman | Pediatrics | 25055 Riding Plaza, Suite 150, South Riding, VA 20152 | 2007-05-08 |
| Find all providers in zip 20152 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992212310 | K-tech Dental Group, PC | Clinic/Center | 14016 Sullyfield Cir Ste B, Chantilly, VA 20151-4010 | 2018-01-08 |
| 1649409525 | Savitha Family Dentistry, Dmd, PC | Clinic/Center | 24805 Pinebrook Rd Ste 200, Chantilly, VA 20152-4128 | 2009-07-13 |
| 1013172972 | Dr. Tarek Ashmawy Dds | Clinic/Center | 5136 Leesburg Pike, Chantilly, VA 22302 | 2008-07-21 |
| 1508022567 | Pleasant Valley Orthodontics | Clinic/Center | 4080 Lafayette Center Dr, Ste 160-a, Chantilly, VA 20151-1247 | 2008-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284679 | Dr Gina Askander PC | Clinic/Center | 4660 Kenmore Ave Ste 318, Alexandria, VA 22304-1306 | 2020-10-29 |
| 1992303242 | Anderson Dental Associates IIi, Pllc | Clinic/Center | 15609 Wingspan Ct, Woodbridge, VA 22193-1103 | 2020-10-09 |
| 1952914970 | Azul Family Dentistry LLC | Clinic/Center | 9605 Critzers Shop Rd, Afton, VA 22920-2416 | 2020-08-28 |
| 1083225429 | Long Ridge Dentistry, PC | Clinic/Center | 2780 Stuarts Draft Hwy Ste 102, Stuarts Draft, VA 24477-2779 | 2020-08-10 |
| 1942810882 | Lexington Smiles, Pllc | Clinic/Center | 123 S Randolph St, Lexington, VA 24450-2065 | 2020-08-05 |
| 1437767670 | Brad Spano Dds, P.C. | Clinic/Center | 1200 Five Springs Rd Ste 101, Charlottesville, VA 22902-8756 | 2020-07-14 |
| 1912525908 | Carabella Dental | Clinic/Center | 420 South Pickett Street, Alexandria, VA 22304-2230 | 2020-07-07 |
| 1669097044 | Lortontown Dental | Clinic/Center | 9010 Lorton Station Blvd Ste 135, Lorton, VA 22079-4794 | 2020-06-11 |
| 1578187035 | Karande Dental Care | Clinic/Center | 2063 Jefferson Davis Hwy Ste 1, Stafford, VA 22554-7291 | 2020-06-01 |
| 1326662917 | Hideki Seto, Dds Pllc | Clinic/Center | 8551 Rixlew Ln Ste 130, Manassas, VA 20109-4277 | 2020-05-30 |
| 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.