JO KOONTZ CRONLY (NPI# 1396007340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396007340 |
Entity Type | Individual |
Full Name | JO KOONTZ CRONLY |
Credential | D.D.S. |
Practice Address |
2400 Colony Crossing Pl Midlothian VA 23112-4281 |
Practice Telephone | 8046396445 |
Practice Fax Number | 8046396400 |
Mailing Telephone | 8046396445 |
Mailing Fax Number | 8046396400 |
Enumeration Date | 2012-06-14 |
Last Update Date | 2017-01-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0401413637 | VA | Dental Providers |
Street Address |
2400 COLONY CROSSING PL |
City | MIDLOTHIAN |
State | VA |
Zip Code | 23112-4281 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861525917 | John A Flowers | Dentist | 2400 Colony Crossing Pl, Midlothian, VA 23112-4281 | 2007-03-14 |
1033553052 | Ashley Abesamis Harman | Dentist | 2400 Colony Crossing Pl, Midlothian, VA 23112-4281 | 2013-04-21 |
1417116526 | Children's Dentistry of Virginia, PC | Clinic/Center | 2400 Colony Crossing Pl, Midlothian, VA 23112-4281 | 2008-06-04 |
1861696932 | Amanda Kuhn | Dentist | 2400 Colony Crossing Pl, Midlothian, VA 23112-4281 | 2007-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982170080 | Shonmarra Ylexus Glover | Behavior Technician | 5950 Harbour Lane, Midlothian, VA 23112 | 2018-10-17 |
1841778917 | Brett Stires | Behavior Technician | 5950 Harbourt Park Dr, Midlothian, VA 23112 | 2018-08-01 |
1538655899 | Surbhi Chandna | Dentist | 5921 Harbour Ln Ste 500, Midlothian, VA 23112 | 2018-07-10 |
1184121584 | Katie Marie Kashmer | Behavioral Analyst | 5950 Barbour Park Lane, Midlothian, WA 23112 | 2018-04-11 |
1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
1922500495 | Rayna Veney Piper | Speech-Language Pathologist | 13900 Hull Street Road, Midlothian, VA 23112 | 2018-03-01 |
1891202883 | Rochelle Wallace | Behavioral Analyst | 5950 Harbourt Park Dr., Midlothian, VA 23112 | 2017-12-29 |
1184138448 | Virginia Medical & Therapeutic Services | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112 | 2017-11-24 |
1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
Find all providers in zip 23112 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104029883 | Shannon Coyle Cestari | Dentist | 4450 E Highway 287, Midlothian, TX 76065-5576 | 2007-06-08 |
1467505818 | Nicholas Christopher Lombardozzi | Dentist | 11601 Robious Road, Suite 130, Midlothian, VA 23113 | 2007-01-19 |
1811489487 | Andrew Christopher Lusk | Dentist | 305 Schofield Dr, Midlothian, VA 23113-7331 | 2018-05-30 |
1275984577 | Brian Schmitz | Dentist | 11601 Robious Rd Ste 130, Midlothian, VA 23113-5605 | 2016-06-28 |
1033553052 | Ashley Abesamis Harman | Dentist | 2400 Colony Crossing Pl, Midlothian, VA 23112-4281 | 2013-04-21 |
1861696932 | Amanda Kuhn | Dentist | 2400 Colony Crossing Pl, Midlothian, VA 23112-4281 | 2007-06-13 |
1538204185 | Roger E Wood Nicholas C Lombardozzi Dds PC | Dentist | 11601 Robious Road, Suite 130, Midlothian, VA 23113 | 2007-02-21 |
1194879197 | Ramonia Archiretia Eddleton | Dentist | 11601 Robious Road, Suite 130, Midlothian, VA 23113 | 2007-01-23 |
1770637563 | Roger Enoch Wood | Dentist | 11601 Robious Road, Suite 130, Midlothian, VA 23113 | 2007-01-22 |
1861561151 | Meera Gokli | Dentist | 13841 Hull Street Rd, Suite 4, Midlothian, VA 23112-2056 | 2006-11-08 |
Find all providers in MIDLOTHIAN |
City | MIDLOTHIAN |
Zip Code | 23112 |
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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.