DENTAL PROFESSIONALS OF VIRGINIA, P.C. (NPI# 1992103543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992103543 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF VIRGINIA, P.C. |
| Other Organization Name | NEW HORIZONS DENTAL CENTER |
| Practice Address |
1020 Elden St Suite 106 Herndon VA 20170-3843 |
| Practice Telephone | 7039554221 |
| Mailing Telephone | 7039554221 |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2014-12-15 |
| Authorized Official Name | KIM WILSON (CRED. SUPERVISOR) |
| Authorized Official Telephone | 2175405170 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF VIRGINIA, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| New Horizons Dental Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969034 | Dental Professionals of Virginia, P.C. | Dentist | 7015 Old Keene Mill Rd Ste 101, Springfield, VA 22150-2805 | 2020-07-09 |
| 1285199356 | Dental Professionals of Virginia, P.C. | Dentist | 1705 Amherst St Ste L02, Winchester, VA 22601-3345 | 2019-02-04 |
| 1841775012 | Dental Professionals of Virginia, P.C. | Dentist | 6399 Richmond Rd Ste 101, Williamsburg, VA 23188-1729 | 2018-10-03 |
| 1598247405 | Dental Professionals of Virginia, P.C. | Dentist | 125 Browns Way Rd, Midlothian, VA 23114-9507 | 2018-09-06 |
| 1285146480 | Dental Professionals of Virginia, P.C. | Dentist | 1200 Wolf Rock Dr, Purcellville, VA 20132-5835 | 2017-10-27 |
| 1811406614 | Dental Professionals of Virginia, P.C. | Dentist | 249 Hanbury Rd E Ste 110, Chesapeake, VA 23322-6623 | 2017-09-25 |
| 1205217817 | Dental Professionals of Virginia, P.C. | Dentist | 2105 Princess Anne Rd, 108, Virginia Beach, VA 23456-4001 | 2015-06-10 |
| 1073901161 | Dental Professionals of Virginia, P.C. | Dentist | 6255 College Dr, Suite E, Suffolk, VA 23435-2768 | 2014-12-26 |
| 1871981993 | Dental Professionals of Virginia, P.C. | Dentist | 1909 Landstown Centre Way, Suite 100, Virginia Beach, VA 23456-1625 | 2014-12-23 |
| 1639783251 | Dental Professionals of Virginia, P.C. | Dentist | 251 Nat Turner Blvd S, Newport News, VA 23606-3076 | 2020-09-01 |
| Street Address |
1020 ELDEN ST SUITE 106 |
| City | HERNDON |
| State | VA |
| Zip Code | 20170-3843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391506 | Ashley Powell | Counselor | 435a Carlisle Dr Ste 103, Herndon, VA 20170 | 2019-05-13 |
| 1841781176 | Virginia Medical Transport, LLC. | Ambulance | 360 Herndon Pkwy Ste 700, Herndon, VA 20170 | 2018-05-22 |
| 1508378332 | Warm Touch Home Care LLC | In Home Supportive Care | 492 Alabama Dr, Herndon, VA 20170 | 2017-11-02 |
| 1154847853 | Elhady Dental Pllc | Dentist | 131 Elden St #130, Herndon, VA 20170 | 2017-08-15 |
| 1841736956 | Julian Badawy | Social Worker | 425 Carlisle Drive, Herndon, VA 20170 | 2017-01-12 |
| 1942742861 | Dr. Mojdeh Vessali Family Dentistry | Dentist | 505 Huntmar Park Drive, #150, Herndon, VA 20170 | 2016-11-09 |
| 1043614308 | Scott Taylor Young | Chiropractor | 905 Herndon Parkway, Suite B, Herndon, VA 20170 | 2014-10-15 |
| 1942614706 | Desiree Debutts Farren | Counselor | 425-b Carlisle Drive, Herndon, VA 20170 | 2014-06-19 |
| 1003229006 | Angels Home Health Care LLC | Home Health | 626 Grant Street, Suite # K, Herndon, VA 20170 | 2014-06-06 |
| 1457608986 | Dental Center of Herndon | Dentist | 1110 Elden St., Suite E108, Herndon, VA 20170 | 2012-08-15 |
| Find all providers in zip 20170 | ||||
| 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 |
|---|---|---|---|---|
| 1770133340 | Gabriella C Basha | Dentist | 131 Elden St Ste 130, Herndon, VA 20170-4835 | 2019-09-16 |
| 1508339664 | Ashima Ahuja | Dentist | 201 Elden St Ste 210, Herndon, VA 20170-4853 | 2019-01-10 |
| 1467948604 | Chandrika Sruthi Dokku | Dentist | 2321 Dulles Station Blvd Ste B, Herndon, VA 20171-6278 | 2018-07-10 |
| 1942604988 | Manpreet Kaur | Dentist | 13102 Weathered Oak Ct, Herndon, VA 20171-2943 | 2014-10-20 |
| 1740602291 | Herndon Dental Arts At Woodland Park, Pllc | Dentist | 12973 Highland Crossing Drive, Ste B, Herndon, VA 20171 | 2014-01-16 |
| 1487907622 | Ridhi Doshi-shah | Dentist | 13455 Farmcrest Ct, Apt # 732, Herndon, VA 20171-3154 | 2012-10-25 |
| 1457608986 | Dental Center of Herndon | Dentist | 1110 Elden St., Suite E108, Herndon, VA 20170 | 2012-08-15 |
| 1316209620 | George Gotsiridze | Dentist | 12919 Alton Sq Apt #209, Herndon, VA 20170 | 2012-06-12 |
| 1326315037 | Neibauer Dental Care, PC | Dentist | 12973 Highland Crossing Dr Ste E, Herndon, VA 20171-5890 | 2011-11-23 |
| 1821326604 | Hyuksoo Kwon | Dentist | 346 Elden St, Herndon, VA 20170-4818 | 2009-12-07 |
| Find all providers in HERNDON | ||||
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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.