KOOL SMILES VAN, PC (NPI# 1417242199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417242199 |
| Entity Type | Organization |
| Organization Name | KOOL SMILES VAN, PC |
| Other Organization Name | KOOL SMILES |
| Practice Address |
135 Conston Ave Christiansburg VA 24073-1151 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 7709169000 |
| Mailing Telephone | 7709165028 |
| Mailing Fax Number | 6782477858 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2014-12-19 |
| Authorized Official Name | TU TRAN (PRESIDENT) |
| Authorized Official Telephone | 7709165028 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Kool Smiles | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609162460 | Kool Smiles Van, PC | Dentist | 2065 S Pleasant Valley Rd, Winchester, VA 22601-7001 | 2011-06-21 |
| 1619262391 | Kool Smiles Van, PC | Dentist | 365 Lowes Dr, Danville, VA 24540-5900 | 2011-06-10 |
| 1447443080 | Kool Smiles Van, PC | Dentist | 3533 Plank Rd, Suite #a, Fredericksburg, VA 22407-6830 | 2007-08-27 |
| 1255524120 | Kool Smiles Van, PC | Dentist | 2000 Daniel Stuart Sq, Woodbridge, VA 22191-3315 | 2007-08-23 |
| 1255418331 | Kool Smiles Van, PC | Dentist | 400c Southpark Blvd, Colonial Heights, VA 23834-2974 | 2006-11-01 |
| 1780771378 | Kool Smiles Van, PC | Dentist | 4239 Holland Road, Suite 762-a, Virginia Beach, VA 23452 | 2006-10-06 |
| 1275620866 | Kool Smiles Van, PC | Dentist | 4072 Victory Blvd., Portsmouth, VA 23701 | 2006-10-06 |
| 1790872380 | Kool Smiles Van, PC | Dentist | 14346 Warwick Blvd., #9, Newport News, VA 23608 | 2006-10-06 |
| 1609963297 | Kool Smiles Van, PC | Dentist | 2165 Cunningham Drive, Hampton, VA 23666 | 2006-10-06 |
| 1366539959 | Kool Smiles Van, PC | Dentist | 6537-b Arlington Blvd., Falls Church, VA 22044 | 2006-10-06 |
| Street Address |
135 CONSTON AVE |
| City | CHRISTIANSBURG |
| State | VA |
| Zip Code | 24073-1151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184234882 | Jaehoon D Jung | Dentist | 135 Conston Ave, Christiansburg, VA 24073-1151 | 2020-08-06 |
| 1063941375 | Jacqueline Alexandria Brown | Dentist | 135 Conston Ave, Christiansburg, VA 24073-1151 | 2017-06-08 |
| 1679986194 | Muzamil Gufran | Dentist | 135 Conston Ave, Kool Smiles/resolution Dental, Christiansburg, VA 24073-1151 | 2014-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172407 | Galax Treatment Center, LLC | Clinic/Center | 2100 Roanoke St, Suite 1, Christiansburg, VA 24073 | 2020-10-22 |
| 1891318044 | Anderson Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 290 Cheverly Road, Christiansburg, VA 24073 | 2020-05-22 |
| 1972012235 | Valerie Glass | Marriage & Family Therapist | 250 Willow Oak Dr, Christiansburg, VA 24073 | 2017-09-29 |
| 1841680311 | New River Assisted Living LLC | Assisted Living Facility | 105 Arbor Drive, Suite 400, Christiansburg, VA 24073 | 2015-02-04 |
| 1770971764 | Jesse Cornwell | Hearing Instrument Specialist | 3225 N Franklin St Ste 2, Christiansburg, VA 24073 | 2014-12-30 |
| 1811323702 | Valerie Lauck | Pharmacist | 192 Conston Avenue, Christiansburg, VA 24073 | 2013-09-24 |
| 1326322819 | National Counseling Group, Inc | Counselor | 90 College Street, Suite C, Christiansburg, VA 24073 | 2011-10-04 |
| 1669796561 | Mary Catherine Carter | Internal Medicine | 2900 Lamb Cir Ste 7-700b, Christiansburg, VA 24073 | 2010-03-22 |
| 1467774992 | Roger Dean Owen | Pharmacist | 1000 Laurel St Ne, Kmart 4850, Christinsburg, VA 24073 | 2010-02-25 |
| 1891989729 | Eva Hudlicka | Social Worker | 2955 Market Street, Suite 7, Christiansburg, VA 24073 | 2007-09-04 |
| Find all providers in zip 24073 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376758144 | Richard Milton Newton Jr. | Dentist | 209 Roanoke St Ste 6, Christiansburg, VA 24073-3035 | 2007-05-14 |
| 1407959356 | Amy S Hunter | Dentist | 115 Akers Farm Road Ne, Suite 3, Christiansburg, VA 24073-4864 | 2006-09-06 |
| 1184690919 | Rice Dentistry of Christiansburg PC | Dentist | 601 Roanoke St, Christiansburg, VA 24073-3142 | 2006-02-23 |
| 1184234882 | Jaehoon D Jung | Dentist | 135 Conston Ave, Christiansburg, VA 24073-1151 | 2020-08-06 |
| 1376971598 | Dynamic Dental Health Associates of Virginia, PC | Dentist | 601 Roanoke St, Christiansburg, VA 24073-3142 | 2013-10-25 |
| 1750546594 | Yuhui Hu | Dentist | 601 Roanoke St, Christiansburg, VA 24073-3142 | 2008-07-21 |
| 1235357328 | Richard A Smith | Dentist | 120 Ponderosa Dr, Suite B, Christiansburg, VA 24073-6583 | 2007-04-23 |
| 1457495780 | Peter J Mcdonald Dds PC | Dentist | 114 N Franklin St, Christiansburg, VA 24073-2953 | 2007-02-19 |
| 1245378553 | Peter J Mcdonald | Dentist | 114 N Franklin St, Christiansburg, VA 24073-2953 | 2007-02-01 |
| 1578641940 | Tarek M Ashmawy | Dentist | 601 Roanoke St, Christiansburg, VA 24073-3142 | 2006-11-01 |
| Find all providers in CHRISTIANSBURG | ||||
| City | CHRISTIANSBURG |
| Zip Code | 24073 |
Please comment or provide details below to improve the information on KOOL SMILES VAN, PC.
| 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.