COMMONWEALTH PEDIATRIC DENTAL SPECIALISTS (NPI# 1679978795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679978795 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH PEDIATRIC DENTAL SPECIALISTS |
| Practice Address |
5506 Whiteside Road Sandston VA 23150-2345 |
| Practice Telephone | 6178756808 |
| Mailing Telephone | 6178756808 |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |
| Authorized Official Name | DR. JOY PHELPS (PEDIATRIC DENTIST/OWNER) |
| Authorized Official Telephone | 6178756808 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
401411512 | VA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Commonwealth Pediatric Dental Specialists PLLC | 5506 Whiteside Rd, Sandston, Virginia 23150 |
| Street Address |
5506 WHITESIDE ROAD |
| City | SANDSTON |
| State | VA |
| Zip Code | 23150-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194367904 | Frances Rose Mckinsey | Technician | 3 W. Mcclellan St., Sandston, VA 23150 | 2019-10-14 |
| 1912023755 | Huntleigh Healthcare LLC | Durable Medical Equipment & Medical Supplies | 5350 I Lewis Road, Sandston, VA 23150 | 2007-03-22 |
| 1699834648 | Marcel Ghislain Lambrechts Jr. | Dentist | 43 West Williamsburg Road, Sandston, VA 23150 | 2006-12-06 |
| 1174697957 | Susan R Richardson Overstreet | Dentist | 39 W Williamsburg Rd, Sandston, VA 23150 | 2006-11-20 |
| 1639241359 | David Richard Suyes Jr. | Dentist | 4 East Williamsburg Road, Sandston, VA 23150 | 2006-11-15 |
| 1770517757 | Gerald William Hake | Internal Medicine | 6 East Williamsburg Road, Sandston, VA 23150 | 2006-07-10 |
| 1740481308 | Gerald W Hake Md PC | Internal Medicine | 6 East Williamsburg Road, Sandston, VA 23150 | 2007-05-30 |
| 1407923691 | Cooke Richardson & Overstreet Dds PC | Dentist | 39 W Williamsburg Rd, Sandston, VA 23150 | 2006-11-30 |
| 1891869681 | Thomas S Cooke IIi | Dentist | 39 W Williamsburg Rd, Sandston, VA 23150 | 2006-11-20 |
| 1902468465 | Kimberly Williams | Driver | 132 Sanderling Ave, Sandston, VA 23150-1000 | 2019-07-05 |
| Find all providers in zip 23150 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940464 | Seven Pines Dental Group Sandston LLC | Clinic/Center | 39 W Williamsburg Rd, Sandston, VA 23150-2040 | 2020-10-20 |
| 1366681314 | William B Munn, Dds, PC | Clinic/Center | 30 W Williamsburg Rd, Sandston, VA 23150-2010 | 2009-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284679 | Dr Gina Askander PC | Clinic/Center | 4660 Kenmore Ave Ste 318, Alexandria, VA 22304-1306 | 2020-10-29 |
| 1992303242 | Anderson Dental Associates IIi, Pllc | Clinic/Center | 15609 Wingspan Ct, Woodbridge, VA 22193-1103 | 2020-10-09 |
| 1952914970 | Azul Family Dentistry LLC | Clinic/Center | 9605 Critzers Shop Rd, Afton, VA 22920-2416 | 2020-08-28 |
| 1083225429 | Long Ridge Dentistry, PC | Clinic/Center | 2780 Stuarts Draft Hwy Ste 102, Stuarts Draft, VA 24477-2779 | 2020-08-10 |
| 1942810882 | Lexington Smiles, Pllc | Clinic/Center | 123 S Randolph St, Lexington, VA 24450-2065 | 2020-08-05 |
| 1437767670 | Brad Spano Dds, P.C. | Clinic/Center | 1200 Five Springs Rd Ste 101, Charlottesville, VA 22902-8756 | 2020-07-14 |
| 1912525908 | Carabella Dental | Clinic/Center | 420 South Pickett Street, Alexandria, VA 22304-2230 | 2020-07-07 |
| 1669097044 | Lortontown Dental | Clinic/Center | 9010 Lorton Station Blvd Ste 135, Lorton, VA 22079-4794 | 2020-06-11 |
| 1578187035 | Karande Dental Care | Clinic/Center | 2063 Jefferson Davis Hwy Ste 1, Stafford, VA 22554-7291 | 2020-06-01 |
| 1326662917 | Hideki Seto, Dds Pllc | Clinic/Center | 8551 Rixlew Ln Ste 130, Manassas, VA 20109-4277 | 2020-05-30 |
| Find all providers with the same taxonomy | ||||
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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.