ROCKBRIDGE REGIONAL DENTAL CLINIC (NPI# 1588926885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588926885 |
Entity Type | Organization |
Organization Name | ROCKBRIDGE REGIONAL DENTAL CLINIC |
Practice Address |
25 Northridge Ln Lexington VA 24450-3399 |
Practice Telephone | 5404648700 |
Practice Fax Number | 5404641362 |
Mailing Telephone | 5404648700 |
Mailing Fax Number | 5404641362 |
Enumeration Date | 2012-06-12 |
Last Update Date | 2014-02-21 |
Authorized Official Name | SUZANNE SHERIDAN (DIRECTOR) |
Authorized Official Telephone | 5404648700 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251V00000X | Voluntary or Charitable | Agencies |
Street Address |
25 NORTHRIDGE LN |
City | LEXINGTON |
State | VA |
Zip Code | 24450-3399 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558345066 | James M. Kennedy Jr. | Pediatrics | 25 Northridge Ln, Lexington, VA 24450-3399 | 2005-11-30 |
1558971531 | Kathleen Carew Lamontagne | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2020-08-05 |
1528620374 | Denise Oinonen | Social Worker | 25 Northridge Ln, Lexington, VA 24450-3399 | 2019-07-02 |
1992369417 | Jeremy Ray Lovelace | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2019-04-30 |
1649757691 | Hamzeh Al Qublan | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2018-07-23 |
1619409166 | Bethany Ellen Elza | Family Medicine | 25 Northridge Ln, Lexington, VA 24450-3399 | 2017-04-03 |
1366864563 | Zachary Ross Taylor | Counselor | 25 Northridge Ln, Lexington, VA 24450-3399 | 2014-01-08 |
1205267002 | Rockbridge Area Free Clinic | Clinic/Center | 25 Northridge Ln, Lexington, VA 24450-3399 | 2013-12-03 |
1821424698 | Helen Knight Farrar | Social Worker | 25 Northridge Ln, Lexington, VA 24450-3399 | 2013-09-24 |
1629319694 | Jamie Chapman Clark | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2013-03-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912561887 | Molly Elizabeth Pallavicini | Counselor | Rockbridge Area Health Center, 25 Northridge Lane, Lexington, VA 24450 | 2019-04-26 |
1598213340 | Elizabeth Larock | Contractor | 712 N. Main Street, Lexington, VA 24450 | 2016-09-21 |
1861872343 | Dominique Boone Tarber | Psychologist | 309 Letcher Avenue, Virginia Military Institute, Lexington, VA 24450 | 2015-06-01 |
1407254147 | Americare Plus, LLC. | In Home Supportive Care | 155 South Main Street, Lexington, VA 24450 | 2014-12-11 |
1710242219 | Matthew Earle Bryant | Family Medicine | 146 S Main St Ste 3, Lexington, VA 24450 | 2012-07-10 |
1861778391 | Marco Giuliani | Specialist/Technologist | 508 Brooke Lane, Clarkson-mckenna Hall, Lexington, VA 24450 | 2011-10-28 |
1356668552 | Chad Joseph Kelland | Psychologist | 129 S Randolph St Ste 1, Lexington, VA 24450 | 2010-04-27 |
1972744779 | Kelly Lynne Mcmullen | Specialist/Technologist | 215 Cameron Hall, Virginia Military Institute, Lexington, VA 24450 | 2009-03-09 |
1669621835 | Rebecca Lowry | Specialist/Technologist | 200 Washington Ave, Lexington, VA 24450 | 2008-09-12 |
1205929114 | Scott Brian Dubit | Family Medicine | 650 N. Lee Highway, Suite 2, Lexington, VA 24450 | 2006-10-02 |
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Taxonomy Code | 251V00000X |
Grouping | Agencies |
Classification | Voluntary or Charitable |
Definition to come... |
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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.