PRINCE WILLIAM HEALTH DISTRICT DENTAL (NPI# 1124110085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124110085 |
Entity Type | Organization |
Organization Name | PRINCE WILLIAM HEALTH DISTRICT DENTAL |
Practice Address |
9301 Lee Ave Manassas VA 20110 |
Practice Telephone | 7037926300 |
Practice Fax Number | 7037926338 |
Mailing Telephone | 7037926300 |
Mailing Fax Number | 7037926338 |
Enumeration Date | 2006-09-29 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. ALISON ANSHER (HEALTH DIRECTOR) |
Authorized Official Telephone | 7037926300 |
Authorized Official Credential | MD MPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
VA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 13761 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851484935 | Prince William Health District Dental | Clinic/Center | 13792 Smoketown Rd, Woodbridge, VA 22192 | 2006-10-02 |
Street Address |
9301 LEE AVE |
City | MANASSAS |
State | VA |
Zip Code | 20110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205805306 | Alison Ansher | Specialist | 9301 Lee Ave, Manassas, VA 20110 | 2006-03-14 |
1225328099 | Olugbenga O Obasanjo | Specialist | 9301 Lee Ave, Manassas, VA 20110-5517 | 2011-04-14 |
1528155157 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 9301 Lee Ave, Manassas, VA 20110-5517 | 2006-10-06 |
1740390178 | Donna Jean Burton | Nurse Practitioner | 9301 Lee Ave, Manassas, VA 20110-5517 | 2006-08-30 |
1407816879 | Vdh | Public Health or Welfare | 9301 Lee Ave, Manassas, VA 20110-5517 | 2006-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
Find all providers in zip 20110 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326662917 | Hideki Seto, Dds Pllc | Clinic/Center | 8551 Rixlew Ln Ste 130, Manassas, VA 20109-4277 | 2020-05-30 |
1447884903 | Liberia Dental Care Pllc | Clinic/Center | 9528 Liberia Ave, Manassas, VA 20110-1719 | 2020-02-24 |
1265902407 | Ismile of Manassas Pllc | Clinic/Center | 10695 Sudley Manor Dr Ste 102, Manassas, VA 20109-2884 | 2018-11-30 |
1740659598 | Brite Smile Dental Group PC | Clinic/Center | 8577 Sudley Rd Ste B, Manassas, VA 20110-3860 | 2015-09-23 |
1659418879 | Thao Bui-nguyen, Dds, PC | Clinic/Center | 8557 Sudley Rd, Manassas, VA 20110-3811 | 2007-01-30 |
1073144226 | Mai Zamakhchari Dmd Pllc | Clinic/Center | 8719 Stonewall Rd, Manassas, VA 20110-4534 | 2020-01-27 |
1417501511 | Anderson & Barragan Dental Associates | Clinic/Center | 9380 Forestwood Ln Ste E, Manassas, VA 20110-4735 | 2019-07-26 |
1073027116 | Manassas Dental Care LLC | Clinic/Center | 8707 Digges Rd, Manassas, VA 20110-4403 | 2017-11-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780284679 | Dr Gina Askander PC | Clinic/Center | 4660 Kenmore Ave Ste 318, Alexandria, VA 22304-1306 | 2020-10-29 |
1992303242 | Anderson Dental Associates IIi, Pllc | Clinic/Center | 15609 Wingspan Ct, Woodbridge, VA 22193-1103 | 2020-10-09 |
1952914970 | Azul Family Dentistry LLC | Clinic/Center | 9605 Critzers Shop Rd, Afton, VA 22920-2416 | 2020-08-28 |
1083225429 | Long Ridge Dentistry, PC | Clinic/Center | 2780 Stuarts Draft Hwy Ste 102, Stuarts Draft, VA 24477-2779 | 2020-08-10 |
1942810882 | Lexington Smiles, Pllc | Clinic/Center | 123 S Randolph St, Lexington, VA 24450-2065 | 2020-08-05 |
1437767670 | Brad Spano Dds, P.C. | Clinic/Center | 1200 Five Springs Rd Ste 101, Charlottesville, VA 22902-8756 | 2020-07-14 |
1912525908 | Carabella Dental | Clinic/Center | 420 South Pickett Street, Alexandria, VA 22304-2230 | 2020-07-07 |
1669097044 | Lortontown Dental | Clinic/Center | 9010 Lorton Station Blvd Ste 135, Lorton, VA 22079-4794 | 2020-06-11 |
1578187035 | Karande Dental Care | Clinic/Center | 2063 Jefferson Davis Hwy Ste 1, Stafford, VA 22554-7291 | 2020-06-01 |
1891316469 | Aldie Dental Care, Pllc | Clinic/Center | 24560 Southpoint Dr Ste 210, Aldie, VA 20105-3504 | 2020-05-05 |
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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.