OPTIMUM DENTAL (NPI# 1194108332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194108332 |
| Entity Type | Organization |
| Organization Name | OPTIMUM DENTAL |
| Practice Address |
7389 Lee Hwy Ste. #101 Falls Church VA 22042-1736 |
| Practice Telephone | 7034684437 |
| Mailing Telephone | 7034684437 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Authorized Official Name | DR. CHELSEA LYNN BALDERSON (GENERAL DENTIST/OWNER) |
| Authorized Official Telephone | 5717650055 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639509102 | Optimum Dental | Dentist | 7389 Lee Hwy Ste 101, Falls Church, VA 22042-1737 | 2013-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | OPTIMUM DENTAL LLC | 7389 Lee Highway Ste 101, Falls Church, Virginia 22042 |
| Colorado Business Entities | Optimum Dental Technologies, LLC | 1360 S. Wadsworth Blvd., Suite 100, Lakewood, CO 80232 |
| Street Address |
7389 LEE HWY STE. #101 |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22042-1736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649321118 | Brittany Le Vo | Dentist | 7389 Lee Hwy, Suite 101, Falls Church, VA 22042-1736 | 2007-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220190 | Alicia Derusso St. Thomas | Student in an Organized Health Care Education/Training Program | Obgyn Admin Suite 2nd Floor South Tower, 3300 Gallows Rd, Falls Church, VA 22042 | 2020-06-23 |
| 1316574320 | Marina A Kalugina | Radiologic Technologist | 3330 Gallows Rd, Falls Church, VA 22042 | 2020-03-27 |
| 1992347645 | Home Injections Plus LLC | Registered Nurse | 7598 Lakeside Village Dr, Unit E, Falls Church, VA 22042 | 2019-10-15 |
| 1205493129 | Meredith Hooover | Obstetrics & Gynecology | 3300 Gallows Rd Falls Church, Va 22042 - 3307, Arlington, VA 22042 | 2019-05-27 |
| 1699269076 | Ibrahim Tora | Student in an Organized Health Care Education/Training Program | Department of Medicine, Npt-2, 3300 Gallows Rd, Falls Church, VA 22042 | 2018-06-19 |
| 1528559960 | Robert Patton | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Department of Medicine, Npt-2, Falls Church, VA 22042 | 2018-05-22 |
| 1144726951 | Helene M Sterbling | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Falls Church, VA 22042 | 2018-04-02 |
| 1659876530 | Cassandra Lyn Presti | Obstetrics & Gynecology | 3300 Gallows Rd Fl 2, Falls Church, VA 22042 | 2018-03-24 |
| 1225530157 | Sara Sigler | Audiologist | 3036 Graham Rd - Main Office Suite, Graham Road Community Building, Falls Church, VA 22042 | 2018-03-07 |
| 1003314949 | Ameriwell Clinics Falls Church, LLC | Chiropractor | 6521 Arlington Blvd Suite 402, Falls Church, VA 22042 | 2018-01-25 |
| Find all providers in zip 22042 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376969386 | Little Smiles of Northern Virginia Pllc | Clinic/Center | 80 E. Jefferson St, 400b, Falls Church, VA 22046 | 2014-03-14 |
| 1538330048 | Dr. Albert M. Boyce,d.d.s.,ltd | Clinic/Center | 313 Park Ave Ste 101, Falls Church, VA 22046-3303 | 2008-03-12 |
| 1497949804 | R A Morabito Dds Plc | Clinic/Center | 6200 Wilson Blvd Ste 114, Falls Church, VA 22044-3209 | 2007-08-29 |
| 1053853341 | Tysons Dental Corner PC | Clinic/Center | 7121 Leesburg Pike, Suite#204, Falls Church, VA 22043-2361 | 2016-11-17 |
| 1285040212 | Falls Church Pediatric Dental Center | Clinic/Center | 6400 Arlington Blvd, Suite 80, Falls Church, VA 22042-2325 | 2014-07-10 |
| 1104238955 | Ace Orthodontics, Pllc | Clinic/Center | 2841 Hartland Rd, Suite 302, Falls Church, VA 22043-3500 | 2014-05-28 |
| 1316138571 | Fadwa Nassar,d.d.s. Pllc | Clinic/Center | 6400 Arlington Blvd, Suite 944, Falls Church, VA 22042-2325 | 2007-08-05 |
| 1578685939 | Mignonette Lobo Inc | Clinic/Center | 6319 Castle Pl, Suite 1a, Falls Church, VA 22044-1907 | 2007-04-05 |
| 1851410765 | Dental Associates | Clinic/Center | 5113 Leesburg Pike, Falls Church, VA 22041-3257 | 2007-03-29 |
| 1467511097 | Thi H Do Dds PC | Clinic/Center | 6051a Arlington Blvd, Falls Church, VA 22044-2721 | 2006-12-08 |
| Find all providers in FALLS CHURCH | ||||
| City | FALLS CHURCH |
| Zip Code | 22042 |
Please comment or provide details below to improve the information on OPTIMUM DENTAL.
| 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.