EISA JAWAD ABU MUNSHAR (NPI# 1770019622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770019622 |
| Entity Type | Individual |
| Full Name | EISA JAWAD ABU MUNSHAR |
| Practice Address |
4753 Valley View Blvd Nw Roanoke VA 24012 |
| Mailing Address |
4753 Valley View Blvd Nw Roanoke VA 24012-2000 |
| Practice Telephone | 6142820979 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401416557 | VA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Gypsy Ln, Youngstown, OH 445041315 | 3308843058 | 3308845788 |
| Street Address |
4753 VALLEY VIEW BLVD NW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831454 | Roshni Joseph | Dentist | 4753 Valley View Blvd Nw, Roanoke, VA 24012-2004 | 2020-08-11 |
| 1760034466 | Shweta Deshmukh | Dentist | 4753 Valley View Blvd Nw, Roanoke, VA 24012-2000 | 2019-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215440359 | Sahar Rafiq | Dentist | 3802 Apricot Trl, Roanoke, VA 24012 | 2017-11-12 |
| 1790202695 | Friendship Pharmacy, Inc. | Pharmacy | 327 Hershberger Rd., Roanoke, VA 24012 | 2017-08-23 |
| 1760912901 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1318 Plantation Rd Ne, Roanoke, VA 24012 | 2017-06-19 |
| 1447702303 | Kartesz Eye Associates Inc. | Optometrist | 4922 Vally View Blvd., Roanoke, VA 24012 | 2016-10-26 |
| 1740638220 | Kevin E Steinberger | Physical Therapist | 2730 Forest Oak Dr, Roanoke, VA 24012 | 2016-05-25 |
| 1740637883 | Professional Health Care Services, Inc. | In Home Supportive Care | 367 Hershberger Rd., Nw, Roanoke, VA 24012 | 2016-05-18 |
| 1497129787 | M Zaher Aymach | Dentist | 1502 Williamson Rd Ne Ste A, Roanoke, VA 24012 | 2015-11-24 |
| 1518223916 | Katherine Rash | Social Worker | 3003 Hollins Road, Roanoke, VA 24012 | 2012-04-10 |
| 1841525383 | William Kastern, O.d., Ph.d., LLC | Optometrist | 4822c Valley View Blvd., Roanoke, VA 24012 | 2009-10-15 |
| 1811221302 | Laila Ochana | Dentist | 85002 Airport Rd, Nw Unit #130, Roanoke, VA 24012 | 2009-09-30 |
| Find all providers in zip 24012 | ||||
| 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 |
|---|---|---|---|---|
| 1215440359 | Sahar Rafiq | Dentist | 3802 Apricot Trl, Roanoke, VA 24012 | 2017-11-12 |
| 1447776463 | Dima Zakhour | Dentist | 2840 Hershberger Rd Nw, Roanoke, VA 24017-1911 | 2017-08-22 |
| 1952760050 | Roanoke Dental Group,pc | Dentist | 1320 N Hwy 377 Suite 100, Roanoke, TX 76262 | 2016-02-17 |
| 1497129787 | M Zaher Aymach | Dentist | 1502 Williamson Rd Ne Ste A, Roanoke, VA 24012 | 2015-11-24 |
| 1942683115 | Fatima Naurose Siraj | Dentist | 860 East Highway 114 Ideal Dental, Suite 200, Roanoke, TX 76262 | 2015-07-07 |
| 1982086609 | Chelsea Randall | Dentist | 2523 Rosalind Ave Sw, Roanoke, VA 24014-2370 | 2015-06-19 |
| 1306225529 | Ideal Dental of Roanoke Pllc | Dentist | 860 East Highway 114, Suite 200, Roanoke, TX 76262 | 2015-05-20 |
| 1609210962 | Claire Dickey Farr | Dentist | 1510 Franklin Rd Sw, Roanoke, VA 24016-5207 | 2013-04-17 |
| 1104181254 | Juliet Adobea Wryter | Dentist | 5002 Airport Rd Nw Unit 130, Roanoke, VA 24012-1607 | 2012-07-05 |
| 1184938185 | Pamela Jean Merritt | Dentist | 2022 Brambleton Ave Sw, Roanoke, VA 24015 | 2010-08-02 |
| Find all providers in ROANOKE | ||||
Please comment or provide details below to improve the information on EISA JAWAD ABU MUNSHAR.
| 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.