DR. WICHAYAPHA MANORAK (NPI# 1477079531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477079531 |
| Entity Type | Individual |
| Full Name | DR. WICHAYAPHA MANORAK |
| Credential | DDS |
| Practice Address |
3608 Forest Dr Alexandria VA 22302-1043 |
| Mailing Address |
3945 Chestnut St 702 Philadelphia PA 19104-3621 |
| Practice Telephone | 2155540388 |
| Mailing Telephone | 2155540388 |
| Enumeration Date | 2017-08-20 |
| Last Update Date | 2017-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401415789 | VA | Dental Providers |
| Street Address |
3608 FOREST DR |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22302-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104801117 | Tuan Vu | Dentist | 3608 Forest Dr, Alexandria, VA 22302-1043 | 2005-12-13 |
| 1871104968 | Ngoc Bao Nguyen | Dentist | 3608 Forest Dr, Alexandria, VA 22302-1092 | 2020-08-12 |
| 1609398726 | Forest Cosmetic & Family Dentistry | Dentist | 3608 Forest Dr, Alexandria, VA 22302-1043 | 2017-07-11 |
| 1043597891 | Forest Family Dentistry, Pllc | Dentist | 3608 Forest Dr, Alexandria, VA 22302-1043 | 2011-11-08 |
| 1922390335 | Cosmetic & Family Dentistry, Pllc | Dentist | 3608 Forest Dr, Alexandria, VA 22302-1043 | 2011-05-04 |
| 1871669986 | Tuan Nha Le | Dentist | 3608 Forest Dr, Alexandria, VA 22302-1043 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245708288 | Jessica Frances Porzel | Nurse Practitioner | 4700 King St # 100, Alexandria, VA 22302 | 2018-11-07 |
| 1649696584 | Tiffany Edwards | General Acute Care Hospital | 3430 Larchmont Avenue Apt 541, Alexandria, VA 22302 | 2014-03-17 |
| 1396051744 | Cyndi Chan Lam | Pharmacist | 3614 King Street, Alexandria, VA 22302 | 2010-08-24 |
| 1871746206 | Carol Anne Burgess | Nurse Anesthetist, Certified Registered | 4216 King St, Alexandria, VA 22302 | 2008-10-29 |
| 1497907711 | Stephen Xavier Giunta | Plastic Surgery | 4216 King Street, King Street West Office Park, Alexandria, VA 22302 | 2008-10-17 |
| 1386892800 | Dr. Catherine P. Nguyen P.C. | Dentist | 5142 Leesburg Pike, Alexandria, VA 22302 | 2008-09-09 |
| 1013172972 | Dr. Tarek Ashmawy Dds | Clinic/Center | 5136 Leesburg Pike, Chantilly, VA 22302 | 2008-07-21 |
| 1346363769 | Robert Bregman | Pediatrics | 4480 King St., Alex Health Dept, Alexandria, VA 22302 | 2007-04-09 |
| 1356460331 | Integrated Medical Care and Rehab.,pc | Physical Medicine & Rehabilitation | 4600 King Street, Suite 4r, Alexandria, VA 22302 | 2007-03-28 |
| 1205917200 | Roma White Farge | Social Worker | 2202 Minor Street, Alexandria, VA 22302 | 2006-10-17 |
| Find all providers in zip 22302 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221616 | American Dental Pllc | Dentist | 4601 Pinecrest Office Park Dr Ste D, Alexandria, VA 22312-1442 | 2020-10-07 |
| 1013523380 | Nour Hussam Tellawi | Dentist | 5911 Edsall Rd Apt 306, Alexandria, VA 22304-4112 | 2020-09-21 |
| 1639710429 | Lake Barcroft Dental Group, PC | Dentist | 6464 A1 Lincolnia Rd, Alexandria, VA 22312 | 2019-10-02 |
| 1588120166 | Adams Dental Pplc | Dentist | 111 S Public Sq, Alexandria, TN 37012-2140 | 2019-02-19 |
| 1174023667 | Smile Doctors Virginia, Pllc | Dentist | 4605 Pinecrest Office Park Dr Ste B, Alexandria, VA 22312-1442 | 2018-02-20 |
| 1669902615 | Fawwaz Faiz Alotaibi | Dentist | 6161 Edsall Rd Apt 1608, Alexandria, VA 22304-4141 | 2017-06-13 |
| 1326595216 | Lester Mobile Dentistry | Dentist | 248 Belleau Wood Blvd, Alexandria, LA 71303-2499 | 2016-09-08 |
| 1922552132 | Hilton Dental, Inc. | Dentist | 3750 Parliament Dr, Alexandria, LA 71303-3011 | 2016-08-05 |
| 1538510599 | Jennifer Park | Dentist | 5750 Dow Ave Apt 241, Alexandria, VA 22304-4071 | 2016-06-30 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22302 |
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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.