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).
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 |
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 Name | Type Code |
---|---|
KOOL SMILES | Doing Business As Name - Organization |
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 |
Street Address |
4072 VICTORY BLVD. |
City | PORTSMOUTH |
State | VA |
Zip Code | 23701 |
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 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 |
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 |
City | PORTSMOUTH |
Zip Code | 23701 |
Please comment or provide details below to improve the information on KOOL SMILES VAN, 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.