DR. SLOAN GARDINER LANCTOT (NPI# 1205892775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205892775 |
| Entity Type | Individual |
| Full Name | DR. SLOAN GARDINER LANCTOT |
| Credential | D.D.S. |
| Practice Address |
2601 C Ave Fort Lee VA 23801-1717 |
| Practice Telephone | 8047349607 |
| Practice Fax Number | 8047349429 |
| Mailing Telephone | 8047349607 |
| Mailing Fax Number | 8047349429 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2010-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
30.021479 | OH | Dental Providers |
| Street Address |
2601 C AVE |
| City | FORT LEE |
| State | VA |
| Zip Code | 23801-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770075772 | Amy S Woodfin | Dental Assistant | 2601 C Ave, Fort Lee, VA 23801-1717 | 2018-06-05 |
| 1457871097 | Jason J Hwang | Dentist | 2601 C Ave, Fort Lee, VA 23801-1717 | 2017-06-25 |
| 1245783620 | Alisha Holmes | Dental Hygienist | 2601 C Ave, Fort Lee, VA 23801-1717 | 2016-08-02 |
| 1295185734 | Antinia Day | Dental Hygienist | 2601 C Ave, Building 8204, Fort Lee, VA 23801-1717 | 2016-06-15 |
| 1902256589 | Thomas Rhinesmith | Dental Hygienist | 2601 C Ave, Fort Lee, VA 23801-1717 | 2016-06-15 |
| 1043660590 | Julliam Dones | Dental Hygienist | 2601 C Ave, Building 8204, Fort Lee, VA 23801-1717 | 2016-06-15 |
| 1528335973 | Chad Wayne Erickson | Dentist | 2601 C Ave, Fort Lee, VA 23801-1717 | 2011-11-29 |
| 1497036529 | Kenner Army Health Clinic | Clinic/Center | 2601 C Ave, Tmc 2 Bld T8204, Fort Lee, VA 23801-1717 | 2011-09-02 |
| 1689879330 | Kenner Army Health Clinic | Clinic/Center | 2601 C Ave, Fort Lee, VA 23801-1717 | 2007-06-20 |
| 1992762249 | Michael Francis Larrimore | Dentist | 2601 C Ave, Us Army Dental Clinic Command, Fort Lee, VA 23801-1717 | 2006-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790262384 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | Ft. Lee 300 A Ave., Fort Lee, VA 23801 | 2018-07-26 |
| 1770812190 | Arkeye | Optometrist | 300 A Avenue, Bldg 1605, Fort Lee, VA 23801 | 2009-12-14 |
| 1992911044 | Claudis Andre' Williams Jr. | Physician Assistant | 700 24th St., Kenner Army Health Clinic, Ft. Lee, VA 23801 | 2007-05-15 |
| 1982703013 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg 3219, Ft Lee, VA 23801 | 2006-09-22 |
| 1922107044 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg P8130, Ft Lee, VA 23801 | 2006-09-22 |
| 1538135157 | Laurie Sue Giertz | Physician Assistant | 700 24th St Apt Hill, Fort Lee, VA 23801 | 2006-02-24 |
| 1689653396 | Robert Keith Lather | Emergency Medicine | Kenner Army Health Clinic, Primary Care Division, Ft Lee, VA 23801 | 2006-01-11 |
| 1265418370 | Edward Cathright Jr. | Dentist | 504 Trenton Drive, Fort Lee, VA 23801 | 2005-12-20 |
| 1801854807 | Mack Conley O'quinn Jr. | Social Worker | 700 24th Street, Kenner Army Health Clinic, Fort Lee, VA 23801 | 2006-05-02 |
| 1083690028 | Kimberly Ellen Newton | Registered Nurse | 700 24th Street, Usameddac Kahc Attn: Credentials Office, Fort Lee, VA 23801 | 2005-12-21 |
| Find all providers in zip 23801 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033470273 | Khimiya M Paryani | Dentist | 4301 Crest Ln, Fort Lee, NJ 07024-2232 | 2012-06-05 |
| 1881725356 | Calvin A Reeman | Dentist | 2000 Linwood Ave Apt 12g, Fort Lee, NJ 07024-3008 | 2007-03-08 |
| 1649326307 | Thomas B Allen | Dentist | 2033 Center Ave, Fort Lee, NJ 07024-4707 | 2007-01-26 |
| 1124100102 | Stephen James Tsoucaris | Dentist | 1323 Anderson Ave, Fort Lee, NJ 07024-1771 | 2006-10-19 |
| 1396922712 | Jae Yong Oh | Dentist | 1567 Palisade Ave, Suite 2a, Fort Lee, NJ 07024-6923 | 2008-01-28 |
| 1932380151 | Stephen J. Tsoucaris, Dmd, PC | Dentist | 1323 Anderson Ave, Fort Lee, NJ 07024-1771 | 2007-11-15 |
| 1861514770 | Louis Jerome | Dentist | 2185 Lemoine Ave, Suite 1m, Fort Lee, NJ 07024-6036 | 2007-04-04 |
| 1841318995 | Gunnar Hasselgren | Dentist | 1625 Anderson Ave, 3rd Floor, Fort Lee, NJ 07024 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898214 | Sally Abdelkarim | Dentist | 556 Garrisonville Rd Ste 200, Stafford, VA 22554-7826 | 2020-07-10 |
| 1225655939 | Avisha Rakesh Shah | Dentist | 3712 Old Forest Rd Ste 100, Lynchburg, VA 24501-6963 | 2020-06-29 |
| 1821621467 | Blessed Smiles | Dentist | 5249 Duke St Ste L-10, Alexandria, VA 22304-2926 | 2020-02-21 |
| 1205307238 | Ideal Endodontics of Woodbridge Pllc | Dentist | 3102 Golansky Blvd Ste 101, Woodbridge, VA 22192-4244 | 2018-12-17 |
| 1154892677 | Prince William Parkway Dental PC | Dentist | 2542 Prince William Pkwy Ste 120, Woodbridge, VA 22192-4149 | 2018-12-10 |
| 1831671353 | Sachin Rastogi Dmd Pllc | Dentist | 6116 Rolling Rd Ste 304, Springfield, VA 22152-1512 | 2018-08-31 |
| 1588143309 | Deepika Ganesh | Dentist | 2601 Swiftrun Rd, Chester, VA 23831-5234 | 2018-08-13 |
| 1134614092 | Specialist Care Endodontics LLC | Dentist | 1964 Gallows Rd Ste 220, Vienna, VA 22182-3814 | 2018-06-24 |
| 1447744131 | Fouad Almalki | Dentist | 1533 Volvo Pkwy, Chesapeake, VA 23320-8489 | 2018-06-18 |
| 1164911863 | Arlington Dental Excellence Specialists Pllc | Dentist | 3801 Fairfax Dr Ste 54, Arlington, VA 22203-1762 | 2018-05-08 |
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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.