COMMUNITY DENTAL INC (NPI# 1609104520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609104520 |
| Entity Type | Organization |
| Organization Name | COMMUNITY DENTAL INC |
| Practice Address |
10246 Kings Hwy King George VA 22485-3429 |
| Practice Telephone | 5404983190 |
| Mailing Telephone | 5404983190 |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2009-12-04 |
| Authorized Official Name | RICHARD COTTRELL (PRESIDENT) |
| Authorized Official Telephone | 5404983190 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
0401411484 | VA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
0401412194 | VA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401008855 | VA | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | COMMUNITY DENTAL INC. | 10246 Kings Hwy, King George, Virginia 22485 |
| Street Address |
10246 KINGS HWY |
| City | KING GEORGE |
| State | VA |
| Zip Code | 22485-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669555249 | George S Cheng | Dentist | 10246 Kings Hwy, King George, VA 22485-3429 | 2006-10-24 |
| 1659724185 | Pediatric Dentistry of King George | Dentist | 10246 Kings Hwy, King George, VA 22485-3429 | 2016-07-20 |
| 1669634275 | Joshua L Swanson | Dentist | 10246 Kings Hwy, King George, VA 22485-3429 | 2008-06-26 |
| 1467626234 | Yarissa Lopez | Dentist | 10246 Kings Hwy, King George, VA 22485-3429 | 2008-04-14 |
| 1972645380 | Guarav Agarwal | Dentist | 10246 Kings Hwy, King George, VA 22485-3429 | 2007-02-13 |
| 1710060322 | David Michael Clark | Dentist | 10246 Kings Hwy, King George, VA 22485-3429 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528699675 | Philicia J King | Nurse Practitioner | 16463 Va-206, King George, VA 22485 | 2020-01-28 |
| 1811492994 | Jason J Wheeler | Psychologist | King George High School, 10100 Foxes Way, King George, VA 22485 | 2018-03-29 |
| 1649668690 | Access Eye Centers, PC | Optometrist | 7961 Kings Hwy., King George, VA 22485 | 2014-12-29 |
| 1568808277 | Alice Ann Pallotti | Massage Therapist | 9305 King's Hwy, Suite A, King George, VA 22485 | 2013-05-21 |
| 1679876296 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 11458 Kings Highway, King George, VA 22485 | 2010-12-21 |
| 1962679506 | Kathleen Ann Fitzsimmons | Counselor | 5506 Payne Dr, King George, VA 22485 | 2008-05-13 |
| 1275574279 | Kristie F Mcdowell | Physician Assistant | 11131 Journal Parkway, King George, VA 22485 | 2006-06-09 |
| 1780675702 | King George Life Care, LLC | Skilled Nursing Facility | 10051 Foxes Way, Box 495, King George, VA 22485 | 2005-10-31 |
| 1881059624 | Jill Bain Wine | Speech-Language Pathologist | 5254 Potomac Dr Ste A, King George, VA 22485 | 2015-12-21 |
| 1245486802 | Roosevelt Dean Jr. | Family Medicine | 11131 Journal Parkway, King George, VA 22485 | 2008-08-14 |
| Find all providers in zip 22485 | ||||
| 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 |
|---|---|---|---|---|
| 1851511356 | Wendy Miranda Moore | Dentist | 9449 Grover Dr, King George, VA 22485-7076 | 2007-04-26 |
| 1669555249 | George S Cheng | Dentist | 10246 Kings Hwy, King George, VA 22485-3429 | 2006-10-24 |
| 1598848160 | Richard W Cottrell | Dentist | 11060 Smile Way, King George, VA 22485-3470 | 2006-10-24 |
| 1205480605 | Yeu Jin Baik | Dentist | 11060 Smile Way, King George, VA 22485-3470 | 2019-07-25 |
| 1538682034 | S&l Dental Group | Dentist | 5212 Kings Wood Ln, King George, VA 22485-5612 | 2017-07-17 |
| 1669634275 | Joshua L Swanson | Dentist | 10246 Kings Hwy, King George, VA 22485-3429 | 2008-06-26 |
| 1467626234 | Yarissa Lopez | Dentist | 10246 Kings Hwy, King George, VA 22485-3429 | 2008-04-14 |
| 1376608091 | Samuel Wook Cho | Dentist | 5212 Kings Wood Ln, King George, VA 22485-5612 | 2006-12-22 |
| 1710060322 | David Michael Clark | Dentist | 10246 Kings Hwy, King George, VA 22485-3429 | 2006-10-24 |
| 1538242151 | Richard Cottrell Dds PC | Dentist | 11060 Smile Way, King George, VA 22485-3470 | 2006-10-24 |
| Find all providers in KING GEORGE | ||||
| City | KING GEORGE |
| Zip Code | 22485 |
Please comment or provide details below to improve the information on COMMUNITY DENTAL INC.
| 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.