UNITED DENTAL SLEEP MEDICINE, PLLC (NPI# 1396217717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396217717 |
| Entity Type | Organization |
| Organization Name | UNITED DENTAL SLEEP MEDICINE, PLLC |
| Practice Address |
9020 Lorton Station Blvd Unit F104 Lorton VA 22079-4750 |
| Mailing Address |
5823 Spinnaker Cove Rd Midlothian VA 23112-2128 |
| Practice Telephone | 8046254066 |
| Practice Fax Number | 8044147491 |
| Mailing Telephone | 8046254066 |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2018-12-24 |
| Authorized Official Name | MICHAEL PAGANO (OWNER) |
| Authorized Official Telephone | 8046254066 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10120 W Broad St Ste I, Glen Allen, VA 230606709 | 8046254066 | 8044147491 |
| Street Address |
9020 LORTON STATION BLVD UNIT F104 |
| City | LORTON |
| State | VA |
| Zip Code | 22079-4750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992558 | Shannon O'connor | Occupational Therapist | 8350 Silverbrook Rd, Lorton, VA 22079 | 2020-08-14 |
| 1548746688 | Kevin Maurice Gleaton | Driver | 9209 Sheffield Hunt Court, Lorton, VA 22079 | 2018-07-12 |
| 1750714754 | Kenneth Ashton Freeman | Internal Medicine | 8915 Rhododendron Circle, Lorton, VA 22079 | 2013-08-13 |
| 1194068577 | Kraidy & Alkaffaf, LLC | Legal Medicine | 9025 Kiger Street, Lorton, VA 22079 | 2013-04-03 |
| 1720339559 | Jacqueline K Campbell | Nurse Practitioner | 8988 Lorton Market Street, # 100, Lorton, VA 22079 | 2012-09-19 |
| 1104176437 | Tiffany L Johnson | Occupational Therapy Assistant | 8828 Western Hemlock Way, Lorton, VA 22079 | 2012-09-13 |
| 1386908630 | William Hyong-sok Lee | Surgery | 8350-c Terminal Road, Newington, VA 22079 | 2012-07-02 |
| 1356668156 | Turn of A Newleaf,inc | Psychologist | 9693 Hagel Circle, Lorton, VA 22079 | 2010-05-03 |
| 1174848477 | Baseline Financial Management Group Corp | General Practice | 7217 Lockport Pl, Suite 102, Lorton, VA 22079 | 2010-03-30 |
| 1720211501 | Eugenia A. Walsh, Dds, PC | Dentist | 9010 Lorton Station Blvd., Suite 150, Lorton, VA 22079 | 2009-08-27 |
| Find all providers in zip 22079 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508313917 | Stars4ucollection Inc | Durable Medical Equipment & Medical Supplies | 9620 Potters Hill Cir, Lorton, VA 22079-2317 | 2016-09-01 |
| 1518302959 | Universal Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 8534 Terminal Rd Unit Gs, Lorton, VA 22079-1428 | 2013-04-29 |
| 1487963369 | Abilitech | Durable Medical Equipment & Medical Supplies | 10453 Greene Dr, Lorton, VA 22079-3541 | 2010-09-27 |
| 1821267196 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 8530 Cinder Bed Rd Ste 2300, Lorton, VA 22079-1478 | 2008-02-21 |
| 1942308754 | Americoast Maryland LLC | Durable Medical Equipment & Medical Supplies | 8249 Backlick Rd, Suite K, Lorton, VA 22079-1446 | 2006-09-20 |
| 1881703189 | Rite Aid of Virginia Inc | Durable Medical Equipment & Medical Supplies | 7764 Gunston Plaza Drive, Lorton, VA 22079-1897 | 2006-08-30 |
| 1720193857 | Shoppers Food Warehouse Corp | Durable Medical Equipment & Medical Supplies | 9409 Lorton Market St, Lorton, VA 22079-1963 | 2006-08-20 |
| 1154849396 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7764 Gunston Plz, Gunston Plaza Center, Lorton, VA 22079-1897 | 2017-09-08 |
| 1053661876 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9372 Richmond Hwy, Lorton, VA 22079-1827 | 2012-09-19 |
| 1093081028 | Kc Pharmacy Healthmart Inc | Durable Medical Equipment & Medical Supplies | 8988 Lorton Station Blvd, Suite 102, Lorton, VA 22079-4756 | 2012-03-23 |
| Find all providers in LORTON | ||||
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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.