FREDERICKSBURG DENTAL CENTER, LLC (NPI# 1376645507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376645507 |
| Entity Type | Organization |
| Organization Name | FREDERICKSBURG DENTAL CENTER, LLC |
| Practice Address |
120 South Tan Street Fredericksburg PA 17026 |
| Mailing Address |
Po Box 69 120 South Tan Street Fredericksburg PA 17026 |
| Practice Telephone | 7178653457 |
| Practice Fax Number | 7178652101 |
| Mailing Telephone | 7178653457 |
| Mailing Fax Number | 7178652101 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2014-01-02 |
| Authorized Official Name | DR. ANDREW THOMAS STEWART (OWNER) |
| Authorized Official Telephone | 7178653457 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 28749L | PA | Dental Providers |
| Y | 122300000X | Dentist | 25124L | PA | Dental Providers |
| Street Address |
120 SOUTH TAN STREET |
| City | FREDERICKSBURG |
| State | PA |
| Zip Code | 17026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154462539 | Andrew Thomas Stewart | Dentist | 120 South Tan Street, Fredericksburg, PA 17026 | 2007-02-09 |
| 1235270919 | Daniel Francis Martel | Dentist | 120 South Tan Street, Fredericksburg, PA 17026 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877234 | Healthstat Health Center Bell & Evans Plant 2 | Preventive Medicine | 2929 Us 22, Fredericksburg, PA 17026 | 2020-10-06 |
| 1073995312 | Jeremy David Stevens | Student in an Organized Health Care Education/Training Program | 345 School Dr, Fredericksburg, PA 17026 | 2015-06-23 |
| 1164826939 | Jennifer Ransil | Marriage & Family Therapist | 122 S. Tan Ally, Fredericksburg, PA 17026 | 2014-10-22 |
| 1154586493 | Fredericksburg Community Health Center, P.C. | Non-Pharmacy Dispensing Site | Tan & Chestnut St, Box 9, Fredericksburg, PA 17026 | 2008-07-25 |
| 1215927322 | Fredericksburg Community Health Center PC | Family Medicine | 120 S. Tan St., Suite 1, Fredericksburg, PA 17026 | 2005-10-28 |
| 1649626094 | Zachary Zerbe | Contractor | 345 School Dr, Fredericksburg, PA 17026 | 2016-05-04 |
| 1346624152 | Melissa Marie Pruner | Physician Assistant | 120 S Tan Street, Suite 1, Fredericksburg, PA 17026-0009 | 2015-07-13 |
| 1881656023 | Carol D Sears | Family Medicine | 120 S. Tan St., Suite 1, Fredericksburg Community Health Center PC, Fredericksburg, PA 17026-0009 | 2006-04-04 |
| 1063474203 | Robert Eugene England | Physician Assistant | 120 S. Tan Street Suite1, Fredericksburg Community Health Center PC, Fredericksburg, PA 17026-0009 | 2006-04-04 |
| 1073575361 | Marlene A Claman | Physician Assistant | 120 S. Tan Street, Suite 1, Fredericksburg Community Health Center PC, Fredericksburg, PA 17026-0009 | 2006-04-04 |
| Find all providers in zip 17026 | ||||
| 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 |
|---|---|---|---|---|
| 1295345247 | Gretchen Lois Lochte | Dentist | 814 S Milam St, Fredericksburg, TX 78624-4120 | 2020-08-05 |
| 1558841593 | Yurim Jang | Dentist | 10524 Spotsylvania Ave Ste 104, Fredericksburg, VA 22408-8611 | 2018-08-20 |
| 1629573423 | Paul Jiral Dds & Associates PC | Dentist | 560 Celebrate Virginia Pkwy Ste 107, Fredericksburg, VA 22406-7298 | 2018-03-26 |
| 1023545290 | Helen Pham | Dentist | 1420 Central Park Blvd Ste 201, Fredericksburg, VA 22401-4932 | 2017-05-17 |
| 1780120717 | Ali Al-douri | Dentist | 10009 Southpoint Pkwy Ste 201, Fredericksburg, VA 22407-2710 | 2017-01-14 |
| 1215325055 | Sean Kim Dds PC | Dentist | 10861 Tidewater Trl, Fredericksburg, VA 22408-2048 | 2015-01-01 |
| 1811394463 | Priyanka Dental P.c | Dentist | 754 Warrenton Rd, Suite 103, Fredericksburg, VA 22406-1098 | 2014-11-25 |
| 1487057865 | Jennifer Wadiak | Dentist | 131 Park Hill Dr, Ste A, Fredericksburg, VA 22401 | 2014-09-30 |
| 1194151449 | Mohamed Elnahass | Dentist | 200 Executive Center Pkwy Ste 104, Fredericksburg, VA 22401 | 2013-09-18 |
| 1730513441 | Waradah K Eargle | Dentist | 101 Backridge Ct, Fredericksburg, VA 22406-6455 | 2013-08-29 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 17026 |
Please comment or provide details below to improve the information on FREDERICKSBURG DENTAL CENTER, LLC.
| 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.