KOOL SMILES VAN, PC (NPI# 1780771378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780771378 |
Entity Type | Organization |
Organization Name | KOOL SMILES VAN, PC |
Other Organization Name | KOOL SMILES |
Practice Address |
4239 Holland Road Suite 762-a Virginia Beach VA 23452 |
Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
Practice Telephone | 7574675665 |
Practice Fax Number | 7574671455 |
Mailing Telephone | 7709165082 |
Mailing Fax Number | 6782477858 |
Enumeration Date | 2006-10-06 |
Last Update Date | 2014-12-19 |
Authorized Official Name | DR. TU TRAN (PRESIDENT) |
Authorized Official Telephone | 7709165028 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Other Name | Type Code |
---|---|
KOOL SMILES | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609162460 | Kool Smiles Van, PC | Dentist | 2065 S Pleasant Valley Rd, Winchester, VA 22601-7001 | 2011-06-21 |
1619262391 | Kool Smiles Van, PC | Dentist | 365 Lowes Dr, Danville, VA 24540-5900 | 2011-06-10 |
1417242199 | Kool Smiles Van, PC | Dentist | 135 Conston Ave, Christiansburg, VA 24073-1151 | 2011-06-10 |
1447443080 | Kool Smiles Van, PC | Dentist | 3533 Plank Rd, Suite #a, Fredericksburg, VA 22407-6830 | 2007-08-27 |
1255524120 | Kool Smiles Van, PC | Dentist | 2000 Daniel Stuart Sq, Woodbridge, VA 22191-3315 | 2007-08-23 |
1255418331 | Kool Smiles Van, PC | Dentist | 400c Southpark Blvd, Colonial Heights, VA 23834-2974 | 2006-11-01 |
1275620866 | Kool Smiles Van, PC | Dentist | 4072 Victory Blvd., Portsmouth, VA 23701 | 2006-10-06 |
1790872380 | Kool Smiles Van, PC | Dentist | 14346 Warwick Blvd., #9, Newport News, VA 23608 | 2006-10-06 |
1609963297 | Kool Smiles Van, PC | Dentist | 2165 Cunningham Drive, Hampton, VA 23666 | 2006-10-06 |
1366539959 | Kool Smiles Van, PC | Dentist | 6537-b Arlington Blvd., Falls Church, VA 22044 | 2006-10-06 |
Street Address |
4239 HOLLAND ROAD SUITE 762-A |
City | VIRGINIA BEACH |
State | VA |
Zip Code | 23452 |
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 | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639797285 | Amber Robinson Hogan | Dentist | 2100 Lynnhaven Pkwy Ste 100, Virginia Beach, VA 23456-1492 | 2020-07-09 |
1851914980 | Grace Choe | Dentist | 2521 N Landing Rd, Virginia Beach, VA 23456-3460 | 2020-05-23 |
1760043079 | Rodion Kryzhanovskiy | Dentist | 2301 General Booth Blvd Ste A, Virginia Beach, VA 23456-7755 | 2019-06-26 |
1700445145 | Harry Wooten Squire | Dentist | 1635 Laskin Rd, Virginia Beach, VA 23451-6113 | 2019-06-10 |
1902368491 | Lighthouse Dental Group, P.C. | Dentist | 2521 N Landing Rd Ste 100, Virginia Beach, VA 23456-3460 | 2019-04-03 |
1558831040 | Rashmi Bhatt Dds PC | Dentist | 5660 Indian River Rd Ste 114, Virginia Beach, VA 23464-5240 | 2018-11-28 |
1306314885 | Adrian M. Laxa, Dds, PC | Dentist | 4540 Princess Anne Rd Ste 101, Virginia Beach, VA 23462-7962 | 2018-11-02 |
1649747080 | Althouse Family Dentistry | Dentist | 337 Edwin Dr Ste 101, Virginia Beach, VA 23462-4560 | 2018-10-24 |
1346720661 | Aspen Dental of Virginia PC | Dentist | 4625 Virginia Beach Blvd, Virginia Beach, VA 23462-6795 | 2018-08-16 |
1215423322 | Ketan Patel | Dentist | 395 Norfolk Ave, Virginia Beach, VA 23451 | 2018-07-02 |
Find all providers in VIRGINIA BEACH |
City | VIRGINIA BEACH |
Zip Code | 23452 |
Please comment or provide details below to improve the information on KOOL SMILES VAN, PC.
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.