LOUISA DENTAL CLINIC


Address: 522 Industrial Dr, Louisa, VA 23093-4146
Phone: 5409674439

LOUISA DENTAL CLINIC (NPI# 1598838401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598838401
Entity Type Organization
Organization Name LOUISA DENTAL CLINIC
Practice Address 522 Industrial Dr
Louisa
VA 23093-4146
Mailing Address Po Box 7546
Charlottesville
VA 22906-7546
Practice Telephone 5409674439
Practice Fax Number 5409674452
Mailing Telephone 4349726219
Mailing Fax Number 4349724310
Enumeration Date 2006-11-16
Last Update Date 2020-08-22
Authorized Official Name DR. LILIAN R PEAKE (DIRECTOR)
Authorized Official Telephone 4349726219
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare Agencies

Office Location

Street Address 522 INDUSTRIAL DR
City LOUISA
State VA
Zip Code 23093-4146

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1548514979 Louisa County Rescue Squad Ambulance 83 Rescue Ln, Louisa, VA 23093 2012-11-07
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1902813231 Commonwealth of Virginia State Board of Health Public Health or Welfare 540 Industrial Dr, Louisa, VA 23093 2006-08-01
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Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093839219 Lawrence Co. Health Dept Public Health or Welfare 9 Bulldog Ln, Louisa, KY 41230-9601 2007-03-16
1801910021 Lawrence Co. Health Dept Public Health or Welfare 100 Bulldog Ln, Louisa, KY 41230-9672 2007-03-16
1376667592 Lawrence Co. Health Dept Public Health or Welfare 201 S Boone St, Louisa, KY 41230-1709 2007-03-16
1346374691 Lawrence Co. Health Dept Public Health or Welfare 6869 N Highway 3, Louisa, KY 41230-7314 2007-03-16
1669506010 Lawrence Co. Healthe Dept Public Health or Welfare 235 E Powhatan St, Louisa, KY 41230-1346 2007-03-16
1902813231 Commonwealth of Virginia State Board of Health Public Health or Welfare 540 Industrial Dr, Louisa, VA 23093 2006-08-01
1225008964 Lawrence County Health Department Public Health or Welfare 1080 Meadowbrook Ln, Louisa, KY 41230-9657 2006-01-25
1639324775 Lawrence County Health Department Public Health or Welfare 1080 Meadowbrook Ln, Louisa, KY 41230-9657 2008-11-17
1023200029 Lawrence County Health Department Public Health or Welfare 1080 Meadowbrook Ln, Louisa, KY 41230-9657 2007-08-14

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City LOUISA
Zip Code 23093

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Dataset Information

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.

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