DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIA,PC (NPI# 1265860928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265860928 |
| Entity Type | Organization |
| Organization Name | DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIA,PC |
| Other Organization Name | CROSS ROAD DENTISTRY |
| Practice Address |
4107 Portsmouth Blvd # 107 Portsmouth VA 23701-2915 |
| Mailing Address |
9400 4th St N Ste 200 St Petersburg FL 33702-2501 |
| Practice Telephone | 7574881421 |
| Practice Fax Number | 7274887333 |
| Mailing Telephone | 7278008026 |
| Mailing Fax Number | 7273396543 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | NANCY SCHIAPARELLI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7278008026 |
| Is Organization Subpart | Y |
| Parent Organization Name | DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 700145001 | 05 |
| Other Name | Type Code |
|---|---|
| Cross Road Dentistry | Doing Business As Name - Organization |
| Rice Dentistry of Chesapeake:Cross Roads Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538582697 | Dynamic Dental Health Associates of Virginia,pc | Dentist | 11201 W Huguenot Rd Ste 100, North Chesterfield, VA 23235-3334 | 2014-01-27 |
| Street Address |
4107 PORTSMOUTH BLVD # 107 |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23701-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437792959 | Roz & James,llc | Home Health | 4397 Portsmouth Blvd, Portsmouth, VA 23701 | 2019-10-28 |
| 1487110847 | Corey Jamal Lott | Durable Medical Equipment & Medical Supplies | 1604 Cavalier Blvd, Pontamouth, VA 23701 | 2019-02-11 |
| 1063931558 | Diadem Doyenne, LLC | Prosthetist | 6515 Portsmouth Blvd, Portsmouth, VA 23701 | 2017-09-15 |
| 1629474044 | Cold Hands Warm Heart Home Health Care LLC | Custodial Care Facility | 504 Cherokee Rd Apt E, Portsmouth, VA 23701 | 2014-11-12 |
| 1770846800 | Turning Points Residential Care, LLC | Exclusive Provider Organization | 23 Carver Circle, Portsmouth, VA 23701 | 2012-06-22 |
| 1326242215 | Thomas Michael Kaptur | Military Health Care Provider | Naval Costal Warfare Squadron Four, Norfolk Naval Shipyard Bldg 11, Portsmouth, VA 23701 | 2007-06-13 |
| 1841494051 | Vlad Vasile Stanila | Specialist | 680 John Paul Jones Circ, Fpo, AP 23701 | 2007-06-12 |
| 1134295512 | Stephen Mark Goldstein | Dentist | 6263 Portsmouth Bld, Portsmouth, VA 23701 | 2006-11-28 |
| 1275620866 | Kool Smiles Van, PC | Dentist | 4072 Victory Blvd., Portsmouth, VA 23701 | 2006-10-06 |
| 1437160546 | Regina Denise Davis | Family Medicine | 3960 Turnpike Road, Jencare Neighborhood Medical Center Victory, LLC, Portsmouth, VA 23701 | 2006-08-11 |
| Find all providers in zip 23701 | ||||
| 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 |
|---|---|---|---|---|
| 1356818314 | Kevin W Campbell | Dentist | Norfolk Naval Shipyard Bld 277, Portsmouth, VA 23709 | 2018-10-29 |
| 1093002628 | Jillian M Harrison | Dentist | 875 Greenland Rd Unit B7, Portsmouth, NH 03801 | 2011-07-04 |
| 1750616298 | Stanley P. Tompkins | Dentist | 5830 Trucker Street, Portsmouth, VA 23703 | 2009-10-15 |
| 1881824274 | Daniel Jacob Fuhrmann | Dentist | 609 John Paul Jones Circle, Portsmouth, VA 23708 | 2009-07-20 |
| 1316119373 | Jenkins Dental Group | Dentist | 3349 Portsmouth Blvd, Portsmouth, VA 23701-3023 | 2008-03-31 |
| 1538337324 | Augustus Nogueira Jr. | Dentist | 21 King Charles Dr, Portsmouth, RI 02871-1343 | 2008-02-14 |
| 1851589899 | Ocean Shades Dental | Dentist | 230 Lafayette Rd Ste C, Portsmouth, NH 03801-5465 | 2007-10-03 |
| 1518160795 | James Nelson Rhodes | Dentist | 1305 Rodman Ave, Portsmouth, VA 23707-3916 | 2007-06-06 |
| 1720200389 | William Walter Cox | Dentist | 5717 Churchland Blvd., Portsmouth, VA 23703 | 2007-05-03 |
| 1811010390 | Tracy M Murray | Dentist | 1010 Gallia St, Portsmouth, OH 45662-4170 | 2007-04-09 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23701 |
Please comment or provide details below to improve the information on DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIA,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.