NIRMAL BOGOLLAGAMA, DDS, PC. INC. (NPI# 1992087993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992087993 |
| Entity Type | Organization |
| Organization Name | NIRMAL BOGOLLAGAMA, DDS, PC. INC. |
| Practice Address |
623 Garrisonville Rd Stafford VA 22554-3710 |
| Mailing Address |
8023 Lewinsville Rd Mc Lean VA 22102-2435 |
| Practice Telephone | 5406596650 |
| Mailing Telephone | 2024917306 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |
| Authorized Official Name | MR. NIRMAL BOGOLLAGAMA (PRESIDENT) |
| Authorized Official Telephone | 2024917306 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401410789 | VA | Dental Providers |
| Street Address |
623 GARRISONVILLE RD |
| City | STAFFORD |
| State | VA |
| Zip Code | 22554-3710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205253978 | Dr. Patricia Reategui D.d.s.p.c. | Dentist | 623 Garrisonville Rd, 623 Garrisonville Road, Stafford, VA 22554-3710 | 2014-03-19 |
| 1467882654 | Dr. Michael W. Schulte | Clinic/Center | 623 Garrisonville Rd, Stafford, VA 22554-3710 | 2013-11-25 |
| 1306193461 | Patricia Reategui | Dentist | 623 Garrisonville Rd, Stafford, VA 22554-3710 | 2012-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385658 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1640 Publix Way, Stafford, VA 22554 | 2020-08-05 |
| 1700368156 | Aws Altameemi | Dentist | 392 Garrisonville Road 205, Stafford, VA 22554 | 2018-09-02 |
| 1831680214 | Radka Loucka | Counselor | 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 | 2018-05-22 |
| 1205383718 | Ogiawesome | Non-emergency Medical Transport (VAN) | 109 Chesterbrook Court, Stafford, VA 22554 | 2016-09-01 |
| 1184088502 | Inina Plucer-rosario | Behavioral Analyst | 12 Monument Drive, Stafford, VA 22554 | 2016-04-12 |
| 1528451218 | Insight Psychological Services, Pllc | Counselor | 11 Hope Rd., Suite 213, Stafford, VA 22554 | 2015-03-05 |
| 1194142885 | Krystal Karin Edmonds | Behavioral Analyst | 538 Apricot Street, Stafford, VA 22554 | 2014-03-20 |
| 1851715312 | Maryann Byrne | Counselor | 108 Brandice St, Stafford, VA 22554 | 2014-02-04 |
| 1164857272 | Melissa C Keylor | Counselor | 11 Hope Road, Suite 213, Stafford, VA 22554 | 2013-09-09 |
| 1255777959 | Sophia Rodrigues | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Performance Physical Therapy, Stafford, VA 22554 | 2013-05-21 |
| Find all providers in zip 22554 | ||||
| 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 |
|---|---|---|---|---|
| 1700368156 | Aws Altameemi | Dentist | 392 Garrisonville Road 205, Stafford, VA 22554 | 2018-09-02 |
| 1588153910 | Tamanna Mohamad Nabi | Dentist | 450 Garrisonville Rd Ste 201, Stafford, VA 22554-1615 | 2018-05-01 |
| 1144738626 | Advanced Dental Care of Stafford | Dentist | 2052 Jefferson Davis Hwy Ste 103, Stafford, VA 22554-7286 | 2018-01-18 |
| 1154871713 | Northern Virginia Dental Arts PC | Dentist | 400 Corporate Dr, Suite 200, Stafford, VA 22554-4896 | 2016-10-07 |
| 1043696834 | Aruna Sunesara | Dentist | 12800 Fountain Lake Circle, Stafford, TX 77477 | 2015-08-04 |
| 1447653126 | Promise Mathew | Dentist | 738 Fm 1092 Rd, Stafford, TX 77477-5910 | 2014-10-08 |
| 1942577580 | Neibauer Dental Care, PC | Dentist | 20 Berkshire Dr Ste 115, Stafford, VA 22554-7863 | 2011-11-28 |
| 1831486331 | Jamie A Kurian | Dentist | 307 Promenade Estates Ln, Stafford, TX 77477-1455 | 2011-07-05 |
| 1538326517 | Andrew L Moore Jr Ms PC | Dentist | 2063 Jefferson Davis Hwy, Suite One, Stafford, VA 22554 | 2008-05-19 |
| 1639350937 | Bindi Suresh Bhalala | Dentist | 385 Garrisonville Rd Ste 108, Stafford, VA 22554-1545 | 2007-11-15 |
| Find all providers in STAFFORD | ||||
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| 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.