DENNILYN JOYCE SARSOZO MORELL (NPI# 1679059422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679059422 |
| Entity Type | Individual |
| Full Name | DENNILYN JOYCE SARSOZO MORELL |
| Practice Address |
76 Nealy Ave Joint Base Langley-eustis VA 23665 |
| Mailing Address |
538 River St Hampton VA 23669-3116 |
| Practice Telephone | 7632257630 |
| Mailing Telephone | 9107244918 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11076 | NC | Dental Providers |
| Street Address |
76 NEALY AVE |
| City | JOINT BASE LANGLEY-EUSTIS |
| State | VA |
| Zip Code | 23665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336646520 | Jared Ure | Student in an Organized Health Care Education/Training Program | 76 Nealy Ave, Joint Base Langley-eustis, VA 23365 | 2018-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1336299122 | Michael Gardner | Family Medicine | 633d Air Base Wing, Family Health Clinic, 77 Nealy Drive, Langley Afb, VA 23665 | 2007-01-12 |
| Find all providers in zip 23665 | ||||
| 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 |
|---|---|---|---|---|
| 1194121145 | Lucy Knippenberg | Dentist | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665 | 2014-11-18 |
| 1851677850 | Bryan Blazer | Dentist | 77 Nealy Ave, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2011-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588488 | Nishchal Mukesh Dalal | Dentist | 2003 Woodbrook Ct, Charlottesville, VA 22901-1148 | 2020-11-08 |
| 1679173140 | Obada Itemaad Salem | Dentist | 15124 Majestic Creek Dr, South Chesterfield, VA 23834-6828 | 2020-10-26 |
| 1205434628 | Helina Mesfun | Dentist | 6512 Greenview Ln, Springfield, VA 22152-2918 | 2020-10-16 |
| 1952909731 | Kimia Khoshroo | Dentist | 1444 Kempsville Rd Ste 101, Virginia Beach, VA 23464-7302 | 2020-10-13 |
| 1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
| 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 |
| 1760097737 | Jamiah Dawson, Dds, P.C. | Dentist | 12731 Jefferson Ave, Newport News, VA 23602-4317 | 2020-09-15 |
| 1477165561 | Amina Mekic | Dentist | 14337 Newbrook Dr, Chantilly, VA 20151-4258 | 2020-08-19 |
| 1942811906 | Christine Baek Mcandrew | Dentist | 1950 Roland Clarke Pl Ste 420, Reston, VA 20191-1414 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
| City | JOINT BASE LANGLEY-EUSTIS |
| Zip Code | 23665 |
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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.