CHILDREN'S DENTISTRY OF CHARLOTTESVILLE, P.C. (NPI# 1265813042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265813042 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S DENTISTRY OF CHARLOTTESVILLE, P.C. |
| Practice Address |
1470 Pantops Mountain Pl Charlottesville VA 22911-4600 |
| Practice Telephone | 4348171817 |
| Practice Fax Number | 4348171819 |
| Mailing Telephone | 4348171817 |
| Mailing Fax Number | 4348171819 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |
| Authorized Official Name | DR. JOHN WILL (SHAREHOLDER) |
| Authorized Official Telephone | 4348171817 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 0401413819 | VA | Dental Providers |
| N | 122300000X | Dentist | 0401412570 | VA | Dental Providers |
| N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
0401412934 | VA | Dental Providers |
| N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
0401413770 | VA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0401410463 | VA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
753148626 | VA | Dental Providers |
| Y | 122300000X | Dentist | 0401414088 | VA | Dental Providers |
| Street Address |
1470 PANTOPS MOUNTAIN PL |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22911-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144226937 | Jacqueline M Carney | Dentist | 1470 Pantops Mountain Pl, Charlottesville, VA 22911-4662 | 2005-06-26 |
| 1295174282 | Jessica Moore | Dentist | 1470 Pantops Mountain Pl, Charlottesville, VA 22911-4600 | 2013-06-23 |
| 1598102931 | Lindsey North | Dentist | 1470 Pantops Mountain Pl, Charlottesville, VA 22911-4600 | 2013-05-24 |
| 1033425335 | Heather Ballentine | Dentist | 1470 Pantops Mountain Pl, Children's Dentistry of Charlottesville, Charlottesville, VA 22911-4600 | 2010-08-24 |
| 1407183080 | Mouhammad Hazem Seirawan | Dentist | 1470 Pantops Mountain Pl, Children's Dentistry of Charlottesville, Charlottesville, VA 22911-4600 | 2009-11-03 |
| 1487827945 | Giuseppe Rebellato, D.d.s., P.C. | Dentist | 1470 Pantops Mountain Pl, Charlottesville, VA 22911-4600 | 2008-04-04 |
| 1689872194 | Jose E Urresti Soberon | Dentist | 1470 Pantops Mountain Pl, Charlottesville, VA 22911-4600 | 2007-07-05 |
| 1528081841 | Mary Lovell | Dentist | 1470 Pantops Mountain Pl, Charlottesville, VA 22911-4600 | 2006-07-26 |
| 1720069974 | Giuseppe Rebellato | Dentist | 1470 Pantops Mountain Pl, Charlottesville, VA 22911-4662 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
| 1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
| 1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
| 1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
| 1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
| 1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
| 1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
| 1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
| 1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
| 1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
| Find all providers in zip 22911 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588488 | Nishchal Mukesh Dalal | Dentist | 2003 Woodbrook Ct, Charlottesville, VA 22901-1148 | 2020-11-08 |
| 1639641327 | Kasey Farah, Dds, P.C. | Dentist | 1928 Rio Hill Ctr, Charlottesville, VA 22901-1142 | 2018-12-19 |
| 1346600053 | Lauren Nicole Aguilar | Dentist | 320 Winding River Ln Ste 302, Charlottesville, VA 22911-3569 | 2016-02-24 |
| 1497138291 | Alexandra Starns | Dentist | 240 Hydraulic Ridge Rd Ste 102, Charlottesville, VA 22901-8130 | 2015-06-30 |
| 1902217490 | Mohamed A. Rezk | Dentist | 2202 N Berkshire Rd Ste 204, Charlottesville, VA 22901-2761 | 2014-05-19 |
| 1679813703 | Simon Karnig Boyadjian | Dentist | 2120 Ivy Rd, A, Charlottesville, VA 22903-1736 | 2013-02-27 |
| 1154606242 | Mohammed A. Almzayyen | Dentist | 335 Greenbrier Drive, Suite: 204, Charlottesville, VA 22901 | 2011-10-20 |
| 1952632879 | Latasha N. Sauls | Dentist | 1222 Jefferson Park Ave Fl 2n, Charlottesville, VA 22903-3410 | 2010-01-15 |
| 1316178338 | Ryan Mark Buckwalter | Dentist | 1420 Greenbrier Pl, Charlottesville, VA 22901-1696 | 2009-08-07 |
| 1043444144 | Lawrence Sherrill Brannon | Dentist | 683 Berkmar Ct, Charlottesville, VA 22901-1406 | 2009-05-05 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
Please comment or provide details below to improve the information on CHILDREN'S DENTISTRY OF CHARLOTTESVILLE, P.C..
| 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.