GRACE DENTAL OF VIRGINIA, LLC


Address: 4530 Walney Rd, Suite 102, Chantilly, VA 20151-2284
Phone: 7038707784

GRACE DENTAL OF VIRGINIA, LLC (NPI# 1700212511) 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) 1700212511
Entity Type Organization
Organization Name GRACE DENTAL OF VIRGINIA, LLC
Practice Address 4530 Walney Rd
Suite 102
Chantilly
VA 20151-2284
Practice Telephone 7038707784
Mailing Telephone 7038707784
Enumeration Date 2013-09-25
Last Update Date 2013-09-25
Authorized Official Name DR. SAMER JARWA (DENTIST)
Authorized Official Telephone 7038707784
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
0401412081 VA Dental Providers

Office Location

Street Address 4530 WALNEY RD
SUITE 102
City CHANTILLY
State VA
Zip Code 20151-2284

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1376032714 Myeyedr Optometry of Virginia, Pllc Optometrist 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 2018-05-01
1013405950 Chantilly Modern Dentistry, PC Dentist 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 2018-04-26
1972090389 Wegmans Food Markets, Inc. Pharmacy 14361 Newbrook Dr., Chantilly, VA 20151 2018-04-20
1922526714 Cynthia Anne Biggar Specialist/Technologist 13613 Bare Island Drive, Chantilly, VA 20151 2017-09-01
1497297717 Rebekah Lee Hinders Nurse Practitioner 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 2016-11-17
1043761117 Victoria Ranti Balogun Nurse Practitioner 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 2016-10-24
1619424694 Erin Booker Nurse Practitioner Parke Long Court, Suite 201, Chantilly, VA 20151 2016-09-07
1326419078 Amparo Emilia Kidd Nurse Practitioner 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 2015-10-07
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477160547 Modaresi & Avin Dds Pllc Dentist 24805 Pinebrook Rd Ste 112, Chantilly, VA 20152-4127 2020-09-23
1689296485 Fizza Gull Dentist 44151 Eastgate View Dr, Chantilly, VA 20152-1338 2020-05-14
1982225215 Smile Daily LLC Dentist 4229 Lafayette Center Dr Ste 1125b-2, Chantilly, VA 20151-1261 2020-04-28
1801442991 Ivan Lopez Sabarre Dentist 4080 Lafayette Center Dr Ste 160-b, Chantilly, VA 20151-1247 2019-08-14
1871056689 Chantilly Dental Arts Center Pllc Dentist 13655 Lee Jackson Memorial Hwy, Chantilly, VA 20151-3568 2019-04-09
1417224056 Neibauer Dental Care, PC Dentist 25401 Eastern Marketplace Plz Ste 165, Chantilly, VA 20152-5783 2011-11-28
1801193982 Jennifer Pham Dentist 42550 Stires Dr, Chantilly, VA 20152-6655 2011-02-25
1235436908 Trusmiles Dental, Plc Dentist 4501 Daly Dr Ste 105, Chantilly, VA 20151-3707 2011-02-16
1982835641 Subha C Yerabollu Dentist 24805 Pinebrook Rd # 316, Chantilly, VA 20152-4126 2009-07-29
1376772178 Gloria Seon-young Kim Dentist 24805 Pinebrook Rd # 311, Chantilly, VA 20152 2009-07-14
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City CHANTILLY
Zip Code 20151

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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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