KOOL SMILES VAN, PC


Address: 4072 Victory Blvd., Portsmouth, VA 23701
Phone: 7574653834

KOOL SMILES VAN, PC (NPI# 1275620866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275620866
Entity Type Organization
Organization Name KOOL SMILES VAN, PC
Other Organization Name KOOL SMILES
Practice Address 4072 Victory Blvd.
Portsmouth
VA 23701
Mailing Address 1090 Northchase Pkwy Se Ste 150
Marietta
GA 30067-6407
Practice Telephone 7574653834
Practice Fax Number 7574653835
Mailing Telephone 7709165028
Mailing Fax Number 6782477858
Enumeration Date 2006-10-06
Last Update Date 2014-12-19
Authorized Official Name DR. TU TRAN (PRESIDENT)
Authorized Official Telephone 7709165028
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223E0200X Dentist
Specialization: Endodontics
Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
KOOL SMILES Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1609162460 Kool Smiles Van, PC Dentist 2065 S Pleasant Valley Rd, Winchester, VA 22601-7001 2011-06-21
1619262391 Kool Smiles Van, PC Dentist 365 Lowes Dr, Danville, VA 24540-5900 2011-06-10
1417242199 Kool Smiles Van, PC Dentist 135 Conston Ave, Christiansburg, VA 24073-1151 2011-06-10
1447443080 Kool Smiles Van, PC Dentist 3533 Plank Rd, Suite #a, Fredericksburg, VA 22407-6830 2007-08-27
1255524120 Kool Smiles Van, PC Dentist 2000 Daniel Stuart Sq, Woodbridge, VA 22191-3315 2007-08-23
1255418331 Kool Smiles Van, PC Dentist 400c Southpark Blvd, Colonial Heights, VA 23834-2974 2006-11-01
1780771378 Kool Smiles Van, PC Dentist 4239 Holland Road, Suite 762-a, Virginia Beach, VA 23452 2006-10-06
1790872380 Kool Smiles Van, PC Dentist 14346 Warwick Blvd., #9, Newport News, VA 23608 2006-10-06
1609963297 Kool Smiles Van, PC Dentist 2165 Cunningham Drive, Hampton, VA 23666 2006-10-06
1366539959 Kool Smiles Van, PC Dentist 6537-b Arlington Blvd., Falls Church, VA 22044 2006-10-06

Office Location

Street Address 4072 VICTORY BLVD.
City PORTSMOUTH
State VA
Zip Code 23701

Providers in the same zip code

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
1437160546 Regina Denise Davis Family Medicine 3960 Turnpike Road, Jencare Neighborhood Medical Center Victory, LLC, Portsmouth, VA 23701 2006-08-11
1093780066 Sarah Jane Daviscrawford Registered Nurse 27 Greenland Blvd, Portsmouth, VA 23701 2006-02-22
Find all providers in zip 23701

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356818314 Kevin W Campbell Dentist Norfolk Naval Shipyard Bld 277, Portsmouth, VA 23709 2018-10-29
1265860928 Dynamic Dental Health Associates of Virginia,pc Dentist 4107 Portsmouth Blvd # 107, Portsmouth, VA 23701-2915 2013-10-16
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
Find all providers in PORTSMOUTH

Competitor

Search similar providers

City PORTSMOUTH
Zip Code 23701

Improve Information

Please comment or provide details below to improve the information on KOOL SMILES VAN, PC.

Dataset Information

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.

Trending Searches