DENTAL SERVICES SE VIRGINIA (NPI# 1770012163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770012163 |
| Entity Type | Organization |
| Organization Name | DENTAL SERVICES SE VIRGINIA |
| Practice Address |
780 Lynnhaven Parkway Suite 220 Virginia Beach VA 23452 |
| Mailing Address |
780 Lynnhaven Pkwy Ste 220 Virginia Beach VA 23452-7332 |
| Practice Telephone | (757) 486-4529 |
| Mailing Telephone | 7574864529 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Authorized Official Name | CARTER LEE RICHARDS (PRESIDENT) |
| Authorized Official Telephone | 7577499043 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
0401008839 | VA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DENTAL SERVICES SE VIRGINIA PLLC | 780 Lynnhaven Parkway Ste 220, Virginia Beach, Virginia 23452 |
| Street Address |
780 LYNNHAVEN PARKWAY SUITE 220 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457701047 | Cynthia Martinez | Developmental Therapist | 780 Lynnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2016-06-15 |
| 1760043145 | Taylor Coleman | Behavior Technician | 780 Lynnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2019-06-26 |
| 1659885549 | Chastity Katelin Garcia | Behavior Technician | 780 Lynnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-11-30 |
| 1881108124 | Emily Ann Escobedo | Behavioral Analyst | 780 Lynnhaven Parkway, Suite 400, Virginia Beach, VA 33441 | 2017-11-22 |
| 1578003257 | Janette Lee Swindell | Behavior Technician | 780 Lynnhaven Parkway, Virginia Beach, VA 23452 | 2017-03-01 |
| 1780135517 | Katy Hallmark | Behavior Technician | 780 Lynnhaven Parkway, 400, Virginia Beach, VA 23452 | 2016-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922417112 | Dentistry of Virginia Beach, Plc | Clinic/Center | 1805 Colonial Medical Ct, Virginia Beach, VA 23454-3034 | 2014-08-13 |
| 1447502380 | Campbell Plc | Clinic/Center | 3300 Princess Anne Rd Ste 715, Virginia Beach, VA 23456-2603 | 2012-10-02 |
| 1558640946 | Sweeney Utterback Dentistry LLC | Clinic/Center | 814 North Newtown Rd, Virginia Beach, VA 23462-1116 | 2011-08-16 |
| 1598043739 | Dental Anesthesia Services, LLC331 | Clinic/Center | 616 Virginia Beach Blvd, #102, Virginia Beach, VA 23451 | 2011-07-21 |
| 1649485541 | Peter G. Kuenzli, D.d.s., P.C. | Clinic/Center | 4876 Princess Anne Rd, Suite #111, Virginia Beach, VA 23462-4447 | 2007-05-14 |
| 1669695508 | Robert Lee Kenney Dds | Clinic/Center | 1206 Laskin Rd, Suite 251, Virginia Beach, VA 23451-5263 | 2007-04-10 |
| 1346379278 | Alan D Nachman Dds PC | Clinic/Center | 508 N Birdneck Rd, Suite E, Virginia Beach, VA 23451-6301 | 2007-03-05 |
| 1508403155 | Ideal Smiles Family & Cosmetic Dentistry | Clinic/Center | 367 Independence Blvd, Virginia Beach, VA 23462-2822 | 2019-12-03 |
| 1881230019 | Kempsville Dental | Clinic/Center | 1450 Kempsville Rd, Virginia Beach, VA 23464-7320 | 2019-11-22 |
| 1679085906 | Strawbridge Dental PC | Clinic/Center | 2129 General Booth Blvd Ste 117, Virginia Beach, VA 23454-5872 | 2017-10-26 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
Please comment or provide details below to improve the information on DENTAL SERVICES SE VIRGINIA.
| 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.