DR. SIERRA ROSE VAN DEN DRIES (NPI# 1649790247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649790247 |
| Entity Type | Individual |
| Full Name | DR. SIERRA ROSE VAN DEN DRIES |
| Credential | DMD |
| Practice Address |
1050 W Perimeter Rd Jb Andrews MD 20762-6601 |
| Mailing Address |
750 Port St Apt 1127 Alexandria VA 22314-2494 |
| Practice Telephone | 2408572854 |
| Mailing Telephone | 2102866002 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS041346 | PA | Dental Providers |
| Street Address |
1050 W PERIMETER RD |
| City | JB ANDREWS |
| State | MD |
| Zip Code | 20762-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466915 | Ronnie Lyman Jr. | Social Worker | 1050 W Perimeter Rd, Jb Andrews, MD 20762-6601 | 2020-08-10 |
| 1053978668 | Jessica Catherine Davis | Student in an Organized Health Care Education/Training Program | 1050 W Perimeter Rd, Jb Andrews, MD 20762-6601 | 2019-05-20 |
| 1962068932 | Kevin J Malina | Student in an Organized Health Care Education/Training Program | 1050 W Perimeter Rd, Jb Andrews, MD 20762-6601 | 2019-05-15 |
| 1912498023 | Ashleigh Denny | Student in an Organized Health Care Education/Training Program | 1050 W Perimeter Rd, Jb Andrews, MD 20762-6601 | 2018-05-24 |
| 1740778349 | Nshombia Stan | Clinic/Center | 1050 W Perimeter Rd, Jb Andrews, MD 20762-6601 | 2018-04-29 |
| 1366964058 | Amy Louise Florkiewicz | Military Health Care Provider | 1050 W Perimeter Rd, Jb Andrews, MD 20762-6601 | 2017-07-13 |
| 1134664097 | Jennifer Saner | Physician Assistant | 1050 W Perimeter Rd, Jb Andrews, MD 20762-6601 | 2017-01-03 |
| 1588022834 | Lauren Rakowski | Military Health Care Provider | 1050 W Perimeter Rd, Jb Andrews, MD 20762-6601 | 2016-02-02 |
| 1528463536 | Heather Tropiano | Psychologist | 1050 W Perimeter Rd, Jb Andrews, MD 20762-6601 | 2014-11-03 |
| 1235563214 | Alisa A Genualdi | Audiologist | 1050 W Perimeter Rd, Jb Andrews, MD 20762-6601 | 2013-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982210423 | Kevin Wang | Dentist | 1057 W Perimeter Rd, Prince County, MD 20762 | 2020-09-21 |
| 1306467667 | Priscilla Andalia | Student in an Organized Health Care Education/Training Program | 1065 W. Perimeter Road, Jb Andrews, MD 20762 | 2020-04-28 |
| 1275162877 | Gabi Im | Dentist | 1065 W Perimeter Rd., Joint Base Andrews, Apo, AA 20762 | 2020-04-06 |
| 1083240139 | Shirley Ye | Student in an Organized Health Care Education/Training Program | 1025 Boston Rd, Joint Base Andrews, MD 20762 | 2020-03-20 |
| 1255988853 | Songxuan Zhou Niemtzow | Acupuncturist | Acupuncture Center and Integrative Medicine Center, 1060 West Perimeter Road, Joint Base Andrews, MD 20762 | 2019-08-20 |
| 1487010971 | Tracy Ellen Ambos | Social Worker | 5100 Fetcher Avenue, Joint Base Andrews, MD 20762 | 2016-01-13 |
| 1154718450 | Ryan Mason Kring | Emergency Medicine | Malcolm Grow Medical Clinics, 1060 W Perimeter Rd, Joint Base Andrews, MD 20762 | 2015-04-24 |
| 1518206044 | Jeremy Gallman | Veterinarian | 1781 Arnold Ave., Joint Base Andrews, MD 20762 | 2013-02-04 |
| 1043556418 | Kimberly Mccoy-singh | Physical Therapist | 1075 West Perimeter Rd., 779 Mdos/sgoy, Joint Base Andrews, MD 20762 | 2012-12-12 |
| 1417215799 | Alexander Rostam Kheradi | Emergency Medicine | 1050 West Perimeter Road, Joint Base Andrews, MD 20762 | 2012-04-24 |
| Find all providers in zip 20762 | ||||
| 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 |
|---|---|---|---|---|
| 1568674380 | Matthew T Wilson | Dentist | 1060 W Perimeter Rd, Jb Andrews, MD 20762 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061166 | Frederick Center for Dentistry, LLC | Dentist | 140 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4485 | 2020-10-23 |
| 1023617321 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 151 Bishop Murphy Dr Ste A, Frostburg, MD 21532-1476 | 2020-10-19 |
| 1427656248 | Kopit Dental Care, Pa | Dentist | 3420 Worthington Blvd Ste A, Frederick, MD 21704-7020 | 2020-10-14 |
| 1588261085 | Rejuvenation Dental LLC | Dentist | 85 High St Ste 6, Waldorf, MD 20602-2150 | 2020-10-07 |
| 1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
| 1992302731 | Brandy L Carullo | Dentist | 8503 Greenbelt Rd Ste T4, Greenbelt, MD 20770-2303 | 2020-10-05 |
| 1871109850 | James Bantz Wooddell Jr. | Dentist | 600 Ridgely Ave Ste 225, Annapolis, MD 21401-1089 | 2020-09-16 |
| 1003421330 | Aspen Hill Implant & Family Dentistry, P.c | Dentist | 1401 Mercantile Ln # 583, Upper Marlboro, MD 20774-4301 | 2020-09-14 |
| 1457965238 | Shalom Dental | Dentist | 5801 Allentown Rd Ste 307, Camp Springs, MD 20746-4582 | 2020-08-31 |
| 1598377921 | John Francis Battinelli | Dentist | 325 Gambrills Rd Ste C, Gambrills, MD 21054-1102 | 2020-08-18 |
| Find all providers with the same taxonomy | ||||
| City | JB ANDREWS |
| Zip Code | 20762 |
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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.