DENTAL PROFESSIONALS OF VIRGINIA, P.C (NPI# 1346770682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346770682 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF VIRGINIA, P.C |
| Other Organization Name | LITTLE BULL RUN DENTAL |
| Practice Address |
13801 Heathcote Blvd Ste 100 Gainesville VA 20155 |
| Practice Telephone | 5712226042 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |
| Authorized Official Name | KENDRA WALKER (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 2175408312 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF VIRGINIA, P.C |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Little Bull Run Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992127989 | Dental Professionals of Virginia, P.c | Dentist | 11670 Sudley Manor Dr, Manassas, VA 20109-2842 | 2014-01-10 |
| 1104253186 | Dental Professionals of Virginia, P.c | Dentist | 43170 Southern Walk Plz, Suite 116, Broadlands, VA 20148-4464 | 2013-10-04 |
| 1649524752 | Dental Professionals of Virginia, P.c | Dentist | 70 W Mercury Blvd Ste 102, Hampton, VA 23669-2570 | 2012-10-29 |
| 1922244813 | Dental Professionals of Virginia, P.c | Dentist | 5312 Carolina Place, Springfield, VA 22151-4401 | 2008-12-23 |
| 1942413042 | Dental Professionals of Virginia, P.c | Dentist | 9675 Liberia Ave, Suite 101, Manassas, VA 20110-1741 | 2007-05-07 |
| 1447463443 | Dental Professionals of Virginia, P.c | Dentist | 9439 Lorton Market St, Lorton, VA 22079-1963 | 2007-05-07 |
| 1922211929 | Dental Professionals of Virginia, P.c | Dentist | 6546 Little River Tpke, Alexandria, VA 22312-1443 | 2007-05-07 |
| 1770914269 | Dental Professionals of Virginia, P.c | Dentist | 11540 Midlothian Tpke, North Chesterfield, VA 23235-4747 | 2013-12-09 |
| 1437595899 | Dental Professionals of Virginia, P.c | Dentist | 1600 N Coalter St, Suite 304, Staunton, VA 24401-2551 | 2013-05-13 |
| 1912251034 | Dental Professionals of Virginia, P.c | Dentist | 6671b Backlick Rd, Suite 15-17, Springfield, VA 22150-2702 | 2012-10-29 |
| Street Address |
13801 HEATHCOTE BLVD STE 100 |
| City | GAINESVILLE |
| State | VA |
| Zip Code | 20155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
| 1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| 1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
| 1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
| 1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
| 1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
| 1700148400 | Laura J Scott | Speech-Language Pathologist | 7501 Heritage Hunt Dr, Gainesville Hrc, Gainesville, VA 20155 | 2012-06-09 |
| Find all providers in zip 20155 | ||||
| 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 |
|---|---|---|---|---|
| 1780293373 | Ariana Estefania Zeb | Dentist | 1230 Sw 11th Ave Apt C309, Gainesville, FL 32601-8255 | 2020-07-29 |
| 1609499151 | Prince William Dental LLC | Dentist | 7051 Heathcote Village Way Ste 100, Gainesville, VA 20155-3197 | 2020-05-19 |
| 1063059764 | Zara Zahid | Dentist | 1395 Center Dr # D11-6, Gainesville, FL 32610-3006 | 2019-12-02 |
| 1053972620 | Tasneem Koleilat | Dentist | 13718 Nw 30th Rd, Gainesville, FL 32606-9325 | 2019-06-25 |
| 1902387301 | Jennie Gabriele Ferrer | Dentist | 1395 Center Drive Ufcd, Dental Tower-second Floor- Office #d2-27, Gainesville, FL 32610-0415 | 2018-08-23 |
| 1508345695 | Carlos Kose Jr. | Dentist | 1395 Center Dr Rm D2-27, Gainesville, FL 32610-3006 | 2018-08-09 |
| 1639661010 | Luis E. Rodriguez Leyva | Dentist | 932 Nw 56th Ter, Gainesville, FL 32605-4480 | 2018-06-01 |
| 1215454830 | Whitney Kristine Schaff | Dentist | 6110 Nw 1st Pl, Gainesville, FL 32607 | 2017-08-24 |
| 1821443540 | Elizabeth A Hill, Dds, Pa | Dentist | 1000 Nw 8th Ave, Suite B, Gainesville, FL 32601-4986 | 2016-05-02 |
| 1477912319 | Ashleigh Michelle Weyh | Dentist | 1016 Sw 8th Ave 102, Gainesville, FL 32601-1334 | 2016-02-21 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 20155 |
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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.