FIDEL DENTAL GROUP (NPI# 1043510282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043510282 |
| Entity Type | Organization |
| Organization Name | FIDEL DENTAL GROUP |
| Other Organization Name | ARLINGTON PEDIATRIC DENTISTRY |
| Practice Address |
5500 Columbia Pike Suite A Arlington VA 22204 |
| Practice Telephone | 7036715437 |
| Practice Fax Number | 7036715544 |
| Mailing Telephone | 7036715437 |
| Mailing Fax Number | 7036715544 |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |
| Authorized Official Name | LOUIS A FIDEL (MANAGING DIRECTOR) |
| Authorized Official Telephone | 7036715437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
1396812004 | DC | Dental Providers |
| Other Name | Type Code |
|---|---|
| Arlington Pediatric Dentistry | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Fidel Dental Group PLLC | 5500 Columbia Pike, Suite B, Arlington, Virginia 22204 |
| Street Address |
5500 COLUMBIA PIKE SUITE A |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679855951 | Stephanie Salomone | Occupational Therapist | 5500 Columbia Pike, Apt. #107, Arlington, VA 22204 | 2011-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639714157 | Cielito Home Health Services, LLC | Registered Nurse | 3708 3rd. Street South, Arlington, VA 22204 | 2019-11-07 |
| 1275177438 | Annie Rachel Poole | Occupational Therapist | 2301 Columbia Pike, Suite 125, Arlington, VA 22204 | 2019-10-31 |
| 1609426436 | Daniela Patricia Jaldin | Home Health Aide | 3708 3rd St. South, Arlington, VA 22204 | 2019-09-13 |
| 1124581475 | Lisa Nemeth | Psychologist | 2110 Washington Bvld, Office of Student Services, Arlington, VA 22204 | 2019-04-12 |
| 1568946176 | Barcroft Dentistry | Dentist | 939 S. Wakefield St, Arlington, VA 22204 | 2018-09-19 |
| 1316431869 | Shannon Odom | Psychologist | Arlington Public Schools Child Find, 2110 Washington Blvd, Arlington, VA 22204 | 2018-06-19 |
| 1801301106 | Carla Janai Farley | Behavior Technician | 2726 N. Cleveland Street, Arlington, VA 22204 | 2017-12-08 |
| 1174064737 | Ezequiel Andrade Fuentes | Dentist | Calle Segunda #67, Ejido Mariano Matamoros, Tijuana, BAJA CALIFORNIA 22204 | 2017-03-15 |
| 1639583107 | Syeda Kutub | Optometrist | 1020 S Glebe Rd, Arlington, VA 22204 | 2014-06-12 |
| 1255769311 | Joyful Mind Counseling of Virginia | Home Health | 1804 B 9th St South, Arlington, VA 22204 | 2013-10-28 |
| Find all providers in zip 22204 | ||||
| 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 |
|---|---|---|---|---|
| 1982022745 | Gharraph,pc | Dentist | 3851 Sw Green Oak Blvd, 123, Arlington, TX 76017-4130 | 2014-03-30 |
| 1063786705 | Jennifer P. Ketchel, Dds, Ms, Pa | Dentist | 7410 S Cooper St Ste 100, Arlington, TX 76001-7025 | 2012-02-27 |
| 1700168192 | Ikids Pediatric Dentistry Arlington | Dentist | 3801 S Cooper St Ste 109, Arlington, TX 76015 | 2011-09-13 |
| 1245527886 | Eva K Swenson | Dentist | 2250 Clarendon Blvd. Apt. 1212, Arlington, VA 22201 | 2011-07-04 |
| 1881858264 | Stephanie Marie Ferguson | Dentist | 3602 Matlock Rd Ste 208, Arlington, TX 76015-3600 | 2008-07-15 |
| 1902090517 | Michelle R. Lindsay, Dds, Pa | Dentist | 478 Lincoln Sq, Arlington, TX 76011-4893 | 2007-08-28 |
| 1750435988 | Jose Fernando Ochoa-grijalva | Dentist | 3801 S Cooper St, Suite 109, Arlington, TX 76015-4132 | 2007-01-23 |
| 1629125489 | John Brian Witte | Dentist | 3035 Matlock Rd, Arlington, TX 76015-2902 | 2007-01-04 |
| 1457414211 | Michelle R. Lindsay | Dentist | 1000 N Fielder Rd, Arlington, TX 76012-3149 | 2006-12-19 |
| 1306953906 | Drs. Hyde, Bailey & Miller Ptr.-north | Dentist | 696 N Fielder Rd, Suite 102, Arlington, TX 76012-3803 | 2006-08-23 |
| Find all providers in ARLINGTON | ||||
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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.