DR. THERON L. DIKEMAN III (NPI# 1194735365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194735365 |
| Entity Type | Individual |
| Full Name | DR. THERON L. DIKEMAN III |
| Credential | D.D.S. |
| Practice Address |
4399 Old Dominion Dr Arlington VA 22207-3207 |
| Practice Telephone | 7035252350 |
| Practice Fax Number | 7035282588 |
| Mailing Telephone | 7035252350 |
| Mailing Fax Number | 7035282588 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
VA | Dental Providers |
| Street Address |
4399 OLD DOMINION DR |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22207-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558465906 | Robert Estel Copeland Jr. | Dentist | 4399 Old Dominion Dr, Arlington, VA 22207-3207 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952820383 | Myrna Carlin Del Olivar | Dentist | Santa Rosalia 20380, Ste 3, Tijuana, BAJA CALIFORNIA 22207 | 2017-09-18 |
| 1770937617 | Jennifer Claire Gagnon | Nurse Practitioner | 2807 N. Glebe Road, Marymount University, Student Health, Arlington, VA 22207 | 2016-04-18 |
| 1609297308 | Henry L Danaceau, Md Ltd | Orthopaedic Surgery | 2501 North Glebe Road, Arlington, VA 22207 | 2013-12-23 |
| 1508121856 | Ashanti Sade Fludd | Home Health Aide | 5010 22nd Street, North Arlington, VA 22207 | 2012-07-11 |
| 1619204609 | Nathaniel Thomas Connally Jr. | Internal Medicine | 3563 N. Abingdon St., Arlington, VA 22207 | 2009-11-11 |
| 1548421076 | Physical Therapy Health Center | Clinic/Center | 5312 N 36th St, Arlington, VA 22207 | 2008-06-18 |
| 1770784415 | Edmund Russell Lynn Jr. | Social Worker | 6033 Little Falls Rd, Arlington, VA 22207 | 2007-05-30 |
| 1053520494 | Deborah Cusick Defranco | Specialist/Technologist | 1426 North Quincy Street, Arlington, VA 22207 | 2007-05-22 |
| 1316081284 | Denise E Bruner Md & Assoc PC | Internal Medicine | 5015 Lee Highway, Suite 201, Arlington, VA 22207 | 2007-02-16 |
| 1740340751 | Albert John Kalil | Psychologist | 4635 14th St North, Arlington, VA 22207 | 2006-12-11 |
| Find all providers in zip 22207 | ||||
| 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 |
|---|---|---|---|---|
| 1346854718 | Barbara A Lawnicki Dmd PC | Dentist | 1068 Massachusetts Ave, Arlington, MA 02476-4311 | 2020-09-03 |
| 1700499720 | Kathy Nguyen | Dentist | 4701 S Cooper St Ste 103, Arlington, TX 76017-5904 | 2020-08-28 |
| 1932718087 | Jenny K Tran | Dentist | 1250 E Pioneer Pkwy Ste 100, Arlington, TX 76010-6422 | 2020-07-24 |
| 1518575851 | Reza Tahernia & Associates Pllc | Dentist | 1901 N Moore St Ste 501, Arlington, VA 22209-1700 | 2020-07-22 |
| 1417591587 | Ace Dental Studio Pllc | Dentist | 3100 Matlock Rd Ste 101, Arlington, TX 76015-2993 | 2019-11-01 |
| 1639724461 | Crystal Smile, Pllc | Dentist | 2611 Jefferson Davis Hwy Ste 200, Arlington, VA 22202-4043 | 2019-08-08 |
| 1659933786 | Mayra Karen Jackson | Dentist | 6320 Us 287 Hwy Ste 128, Arlington, TX 76001-2868 | 2019-06-28 |
| 1508426545 | John A Cusumano | Dentist | 4350 N Fairfax Dr #135, 4350 N Fairfax Dr Suite 135, Arlington, VA 22203-1695 | 2019-06-20 |
| 1316507601 | Deborah Heylim Chung | Dentist | 3565 Lee Hwy # S3b, Arlington, VA 22207-3716 | 2019-06-18 |
| 1477038800 | Min Sung Kang | Dentist | 3565 Lee Hwy Ste S3b, Arlington, VA 22207-3716 | 2018-10-02 |
| 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.