DR. DAVID BRENT PEMBERTON


Address: 101 Cowardin Ave, Suite 303, Richmond, VA 23224-2078
Phone: 8042336811

DR. DAVID BRENT PEMBERTON (NPI# 1073704219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073704219
Entity Type Individual
Full Name DR. DAVID BRENT PEMBERTON
Credential D.D.S.
Practice Address 101 Cowardin Ave
Suite 303
Richmond
VA 23224-2078
Practice Telephone 8042336811
Practice Fax Number 8042300980
Mailing Telephone 8042336811
Mailing Fax Number 8042300980
Enumeration Date 2007-08-05
Last Update Date 2013-10-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
0401005552 VA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA UNITED CONCORDIA 000762638 01
PA UNITED CONCORDIA 001701144 01
WI DORAL DENTAL 165313 01
VA ANTHEM 077683 01
VA ANTHEM 172260 01
VA 7815042 05

Office Location

Street Address 101 COWARDIN AVE
SUITE 303
City RICHMOND
State VA
Zip Code 23224-2078

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962424929 Ghouse S Hyder Specialist 101 Cowardin Ave, Suite 302, Richmond, VA 23224-2078 2006-07-25
1871818153 Vernon J Harris East End Community Health Center Clinic/Center 101 Cowardin Ave, Suite 102, Richmond, VA 23224-2078 2010-03-30
1629212212 Brandi Galloway Nurse Practitioner 101 Cowardin Ave, Suite 208, Richmond, VA 23224-2078 2009-04-27
1487893061 Leon J. Brown, Jr., M.d., P.C. Family Medicine 101 Cowardin Ave, Suite 105, Richmond, VA 23224-2078 2009-02-05
1366633034 Tova Lynn Burge-martin Obstetrics & Gynecology 101 Cowardin Ave, Suite 208, Richmond, VA 23224-2078 2007-08-07
1649489782 Djuna D Jones Obstetrics & Gynecology 101 Cowardin Ave, Suite 208, Richmond, VA 23224-2078 2007-05-22
1215157748 Ronald Evans Cade Dentist 101 Cowardin Ave, 206, Richmond, VA 23224-2078 2007-04-26
1518187061 Cade Dental Practice Dentist 101 Cowardin Ave, 206, Richmond, VA 23224-2078 2007-04-26
1679628499 Dr. Zelda West Johnson & Associates Clinic/Center 101 Cowardin Ave, Suite 307, Richmond, VA 23224-2078 2007-01-24
1760548259 Chippenham Pediatric Specialists LLC Pediatrics 101 Cowardin Ave, Ste. 207, Richmond, VA 23224-2078 2006-12-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053919282 Impulse Transport LLC Taxi 2119 Clearfield St, Richmond, VA 23224 2020-10-10
1528629482 Takiera El-amin Counselor 2505 Warwick Ave, Richmond, VA 23224 2019-06-21
1750851200 Mosley Trucking Corporation Non-emergency Medical Transport (VAN) 2740 Geneva Drive, Richmond, VA 23224 2018-11-27
1154897569 Michelle H Chou Music Therapist 1125 Bainbridge St Apt 13, Richmond, VA 23224 2018-10-23
1801385257 Emily Pratt Harris Social Worker 4730 N. Southside Plaza, Richmond, VA 23224 2018-05-01
1649782657 Tamika Shavon Starks Driver 4134 Leaked Avenue, Richmond, VA 23224 2017-10-31
1992221972 Benjamin Franklin Petway Driver 6013 Zurich Drive, Richmond, VA 23224 2017-08-21
1497280457 Tracy Williams Parker Pharmacist 4730 N Southside Plaza, Richmond, VA 23224 2017-04-27
1114450624 Jacqueline Britz Family Medicine 4730 E Southside Plaza, Richmond, VA 23224 2017-04-11
1932656477 Afia Medical Transportation Ltd Non-emergency Medical Transport (VAN) 227 E Belt Blvd, Suit A, Richmond, VA 23224 2016-09-01
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740801000 Tamara Lin Dentist 5116 Mulligan Ct, Richmond, CA 94806-5898 2020-04-28
1699394916 Caitlin Suzanne Shannon Dentist 2519 E Main St Ste 102, Richmond, IN 47374-5869 2020-04-16
1982247953 Benjamin Crowley, Dds PC Dentist 6808 Stoneman Rd, Richmond, VA 23228-2744 2019-10-23
1326695339 New Era Healthcare Inc. Dentist 6300 Oak Middle Ct Apt 104, Richmond, VA 23231-4872 2019-08-23
1770145617 Morgan Worley Dentist 4818 Waterview Town Center Dr Ste 100, Richmond, TX 77407-2384 2019-07-01
1083188908 Richmond Pediatric Dentistry and Orthodontics Dentist 8503 Patterson Ave Ste G, Richmond, VA 23229-6442 2019-01-14
1699254318 Blvd Dentistry Richmond Pllc Dentist 18320 W. Airport Rd, Suite 200, Richmond, TX 77407 2018-08-13
1083190011 Kayla Marie Roe Dentist 6605 W Broad St Ste 105, Richmond, VA 23230-1714 2018-07-12
1376037341 Adrienne Lashae Childress Dentist 4095 Atwood Dr Ste A, Richmond, KY 40475-8325 2018-06-21
1023509908 Richmond City Dentistry Dentist 1517 W Broad St, Richmond, VA 23220-3016 2018-05-25
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Competitor

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City RICHMOND
Zip Code 23224

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Dataset Information

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.

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