OLD DOMINION FAMILY DENTAL (NPI# 1386241792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386241792 |
| Entity Type | Organization |
| Organization Name | OLD DOMINION FAMILY DENTAL |
| Practice Address |
3290 Church Rd Henrico VA 23233-1812 |
| Practice Telephone | 8042703080 |
| Practice Fax Number | 8049670144 |
| Mailing Telephone | 8042703080 |
| Mailing Fax Number | 8049670144 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | JOHN A FREEMAN (DENTIST/OWNER) |
| Authorized Official Telephone | 8042703080 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL VIRGINIA DENTAL CARE PLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Old Dominion Family Dental P.C. | 3290 Church Rd, Richmond, Virginia 23233 |
| Street Address |
3290 CHURCH RD |
| City | HENRICO |
| State | VA |
| Zip Code | 23233-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144872920 | John Andrew Freeman | Dentist | 3290 Church Rd, Henrico, VA 23233-1812 | 2019-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1770193286 | Penelope Kate Eissenberg | Occupational Therapist | Cedarfields, 2300 Cedarfield Parkway, Richmond, VA 23233 | 2020-08-10 |
| 1962038570 | Samantha Montgomery Warren | Nurse Practitioner | 3900 Westerre Parkway, Suite 300 Pmb# 308, Richmond, VA 23233 | 2020-03-15 |
| 1285269696 | Joyce Prayer Medical Transportion LLC | Transportation Broker | 2437 Bidgeview Ln, Henrico, VA 23233 | 2020-03-05 |
| 1821621228 | Marlon Reyes | Private Vehicle | 2500 Pump Rd, Richmond, VA 23233 | 2020-02-13 |
| 1659840924 | Brent Rusnak River Run Dental Greengate | Dentist | 3700 Haydenpark Lane, Medical Office J, Henrico, VA 23233 | 2018-11-16 |
| 1003309808 | Jeffrey Walker | Pharmacist | 3460 Pump Road, Henrico, VA 23233 | 2018-06-07 |
| 1346741667 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100, Richmond, VA 23233 | 2018-02-22 |
| 1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
| 1295235026 | Zackery Firesheets | Physical Therapy Assistant | 2422 University Park Blvd., Richmond, VA 23233 | 2018-02-19 |
| Find all providers in zip 23233 | ||||
| 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 |
|---|---|---|---|---|
| 1336758382 | Chitti Mengji | Dentist | 3441 Kilburn Cir Apt 618, Henrico, VA 23233-1137 | 2020-07-27 |
| 1477161271 | George A Oley Iv | Dentist | 9030 Three Chopt Rd Ste A, Henrico, VA 23229-4641 | 2020-07-17 |
| 1144872920 | John Andrew Freeman | Dentist | 3290 Church Rd, Henrico, VA 23233-1812 | 2019-07-12 |
| 1003327065 | Eli W. Robinson, D.d.s., P.l.c. | Dentist | 2303 N Parham Rd Ste 5, Henrico, VA 23229-3102 | 2017-10-18 |
| 1396255154 | Fred A. Knaysi D.d.s., P.C. | Dentist | 8921 Three Chopt Rd Ste 304, Henrico, VA 23229-4601 | 2017-10-06 |
| 1952825184 | Hammad Asaed Shere | Dentist | 210 Rocketts Way Unit 212, Henrico, VA 23231-3060 | 2017-07-30 |
| 1639609571 | Jennifer Mary Tran | Dentist | 12040 W Broad St, Henrico, VA 23233-7689 | 2017-06-14 |
| 1922363126 | Mohammed Kassim Almandalawi | Dentist | 11921 Misty Cove Ct Apt 103, Henrico, VA 23233-7149 | 2012-07-12 |
| 1114079480 | William T. Lucas D.d.s. and Roman T. Haueis D.m.d., P.C. | Dentist | 3811 Westerre Pkwy, Suite C, Henrico, VA 23233-1329 | 2007-01-17 |
| 1952324261 | Jennifer Trider Rose | Dentist | 7110 Patterson Ave, Ste C, Henrico, VA 23229-6755 | 2006-07-26 |
| Find all providers in HENRICO | ||||
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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.