DR. WILLIAM S. DODSON JR. (NPI# 1255342499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255342499 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM S. DODSON JR. |
| Credential | D.M.D. |
| Practice Address |
1510 Breezeport Way Suite 400 Suffolk VA 23435-3736 |
| Practice Telephone | 7576384500 |
| Mailing Telephone | 7576384500 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
DN 14843 | FL | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
0401410127 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922278027 | William Walter Dodson | Psychologist | 7995 E Prentice Ave Ste 207, Greenwood Village, CO 80111-2713 | 2008-03-04 |
| 1801809413 | William H Dodson | Physical Therapist | 701 N Grant Ave, Odessa, TX 79761-4504 | 2006-08-14 |
| 1700854080 | William Warnick Dodson IIi | Preventive Medicine | 108th Wing Clinic, Joint Mtf Building, Mcguire Afb, NJ 08641 | 2006-03-10 |
| 1235116625 | William A. Dodson | Physical Medicine & Rehabilitation | 802 N Riverside Rd, Suite 150, Saint Joseph, MO 64507-9794 | 2005-12-27 |
| 1942334305 | William Frances Dodson | Dentist | 24551 Silver Cloud Ct, Suite 202, Monterey, CA 93940-6536 | 2007-03-15 |
| 1548277593 | William Harold Dodson IIi | Family Medicine | 2995 Baseline Rd, Suite 210, Boulder, CO 80303-2318 | 2006-08-02 |
| 1275559593 | William Edwin Dodson | Psychiatry & Neurology | 1 Childrens Pl, 2nd Floor Ste D, Saint Louis, MO 63110-1002 | 2006-07-14 |
| 1811951908 | William C Dodson | Obstetrics & Gynecology | 35 Hope Drive, Suites 202 & 204, Hershey, PA 17033-2086 | 2006-04-14 |
| Street Address |
1510 BREEZEPORT WAY SUITE 400 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-3736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164846564 | Trudeau Endodontics, PC | Dentist | 1510 Breezeport Way, Suite 400, Suffolk, VA 23435-3736 | 2014-02-06 |
| 1821356510 | Pathways To Life, Inc. | Community/Behavioral Health | 1510 Breezeport Way, Suite 100, Suffolk, VA 23435-3736 | 2012-05-01 |
| 1235298894 | Nicholas M. Balovich IIi | Chiropractor | 1510 Breezeport Way, Suite 100, Suffolk, VA 23435-3736 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| 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 |
|---|---|---|---|---|
| 1164846564 | Trudeau Endodontics, PC | Dentist | 1510 Breezeport Way, Suite 400, Suffolk, VA 23435-3736 | 2014-02-06 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.