SPARKLE PEDIATRIC DENTISTRY (NPI# 1821535444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821535444 |
| Entity Type | Organization |
| Organization Name | SPARKLE PEDIATRIC DENTISTRY |
| Practice Address |
8203 Center Path Ln Suite A Mechanicsville VA 23116-4060 |
| Mailing Address |
11934 W Broad St Suite 120 Henrico VA 23233-1100 |
| Practice Telephone | 8047467382 |
| Practice Fax Number | 8047463025 |
| Mailing Telephone | 8047467382 |
| Mailing Fax Number | 8047463025 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |
| Authorized Official Name | BEN LEWIS (VICE PRESIDENT) |
| Authorized Official Telephone | 8047467382 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL VIRGINIA DENTAL CARE, PLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
8203 CENTER PATH LN SUITE A |
| City | MECHANICSVILLE |
| State | VA |
| Zip Code | 23116-4060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073548947 | Holly Lewis | Dentist | 8203 Center Path Ln, Suite A, Mechanicsville, VA 23116-4060 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131664 | Orthovirginia, Inc | Physician Assistant | 9369 Atlee Road Unit 3107, Mechanicsville, VA 23116 | 2019-12-12 |
| 1558915702 | Rachelle Lamaris Smith | Counselor | 7611 Magazine Drive, Mechanicsville, VA 23116 | 2019-07-26 |
| 1467004952 | Katherine Romero-davis | Speech-Language Pathologist | Sheltering Arms Rehabilitation Hospital, 8254 Atlee Road, Mechanicsville, VA 23116 | 2019-07-15 |
| 1275092850 | Melissa Harp Harden | Occupational Therapist | 9366 Count Kristopher Dr, Mechanicsville, VA 23116 | 2019-03-13 |
| 1467969105 | Lynsey Marie Preisner | Physician Assistant | 8262 Atlee Road Suite 202, Mechanicsville, VA 23116 | 2018-01-03 |
| 1912437526 | Kim S Hammonds | Nurse Practitioner | 8102 Braxton Court, Mechanicsville, VA 23116 | 2017-06-15 |
| 1023547528 | Gina Elysia Wurfel | Social Worker | 9126 Ashlar Pl, Mechanicsville, VA 23116 | 2017-06-08 |
| 1063945624 | Lisa Gervasoni | Occupational Therapist | 8254 Attlee Road, Mechanicsville, VA 23116 | 2017-04-10 |
| 1679006308 | Kerri Eggleston | Physical Therapist | 8226 Meadowbridge Road, Mechanicsville, VA 23116 | 2017-04-10 |
| 1659823466 | Mechanicsville Chemist LLC | Pharmacy | 8324 Bell Creek Road, Suite Number 800, Mechanicsville, VA 23116 | 2016-10-27 |
| Find all providers in zip 23116 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023554847 | Atkins, Maestrello, Miller and Associates Pediatric Dentistry, PC | Dentist | 7521 Right Flank Rd, Mechanicsville, VA 23116-3870 | 2017-01-18 |
| 1295964955 | Pediatric Dentistry of Virginia, Pllc | Dentist | 8203 Center Path Lane, Suite A, Mechanicsville, VA 23116 | 2009-07-02 |
| 1073548947 | Holly Lewis | Dentist | 8203 Center Path Ln, Suite A, Mechanicsville, VA 23116-4060 | 2006-07-11 |
| 1912459215 | Pediatric Dentistry of Virginia, Pllc | Dentist | 8203 Center Path Lane, Suite A, Mechanicsville, VA 23116 | 2016-11-03 |
| 1306259239 | James Joseph Musselwhite | Dentist | 8203 Center Path Ln # A, Mechanicsville, VA 23116-4060 | 2014-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998878 | Nadgie Ortiz Diaz Dmd Pllc | Dentist | 24560 Southpoint Dr Ste 240, Aldie, VA 20105-3505 | 2020-09-24 |
| 1154948289 | Cardinal Pediatric Dentistry Pllc | Dentist | 11551 Nuckols Rd Ste H, Glen Allen, VA 23059-5565 | 2020-07-06 |
| 1043842214 | Funpedopark LLC | Dentist | 1009 Centerbrooke Ln Ste 210, Suffolk, VA 23434-8664 | 2020-02-06 |
| 1861023251 | Bitty Bites Pediatric Dentistry Inc. | Dentist | 11600 Busy St Ste 101, North Chesterfield, VA 23236-4066 | 2020-02-04 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1770149742 | Noeen Arshad | Dentist | 129 University Blvd Ste A, Harrisonburg, VA 22801-3751 | 2019-05-15 |
| 1609353499 | Prachi Chandalia | Dentist | 609 E Monroe Ave, Alexandria, VA 22301-3020 | 2018-07-24 |
| 1255817730 | Fusion Dental | Dentist | 1401 Chain Bridge Rd, Mc Lean, VA 22101-6026 | 2018-07-17 |
| 1952897050 | Danielle Miller | Dentist | 11934 W Broad St Ste 120, Henrico, VA 23233-1100 | 2018-07-02 |
| 1063929057 | Anna Maria Boggs, Dmd, PC | Dentist | 1947 A Medical Ave, Harrisonburg, VA 22801 | 2017-12-29 |
| Find all providers with the same taxonomy | ||||
| City | MECHANICSVILLE |
| Zip Code | 23116 |
Please comment or provide details below to improve the information on SPARKLE PEDIATRIC DENTISTRY.
| 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.