DR. DEANDRA MICHELE PRICE (NPI# 1427205483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427205483 |
| Entity Type | Individual |
| Full Name | DR. DEANDRA MICHELE PRICE |
| Credential | DDS |
| Practice Address |
77 Nealy Avenue 1st Medical Group Langley Afb VA 23665-2040 |
| Practice Telephone | 7572257630 |
| Mailing Telephone | 7572257630 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401412141 | VA | Dental Providers |
| Street Address |
77 NEALY AVENUE 1ST MEDICAL GROUP |
| City | LANGLEY AFB |
| State | VA |
| Zip Code | 23665-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245530641 | Syrah Elizabeth Nicaisse | Midwife | 77 Nealy Avenue, 633d Medical Group, Langley Afb, VA 23665-2040 | 2010-11-01 |
| 1861724510 | Allen G Gunn | Dentist | 77 Nealy Avenue, 633d Medical Group, Langley Afb, VA 23665-2040 | 2010-02-05 |
| 1396989174 | Sherrill L Price | Military Health Care Provider | 77 Nealy Avenue, 1st Medical Group, Langley Afb, VA 23665-2040 | 2009-04-24 |
| 1295979078 | Surinia Stocks Williams | Military Health Care Provider | 77 Nealy Avenue, 1st Medical Group, Langley Afb, VA 23665-2040 | 2009-04-24 |
| 1114161080 | Bryan George Paul | Military Health Care Provider | 77 Nealy Avenue, 1st Medical Group, Langley Afb, VA 23665-2040 | 2009-04-23 |
| 1700064466 | Anthony Inae | Family Medicine | 77 Nealy Avenue, 1st Medical Group, Langley Afb, VA 23665-2023 | 2008-02-05 |
| 1568645315 | Leigh Gossick Johnson | Student in an Organized Health Care Education/Training Program | 77 Nealy Avenue, 1st Medical Group, Langley Afb, VA 23665-2033 | 2007-12-14 |
| 1881873693 | Kristopher Carson Rusinko | Pharmacist | 77 Nealy Avenue, 633d Medical Group, Langley Afb, VA 23665-2040 | 2007-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| 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 |
|---|---|---|---|---|
| 1164626396 | Carl Paul Bhend | Dentist | 72 Nealy Avenue, Langley Afb, VA 23665-5300 | 2007-06-12 |
| 1093000150 | Spencer Matthew Lee | Dentist | 76 Nealy Blvd, 633d Ds/sgd, Langley Afb, VA 23665-2022 | 2011-06-16 |
| 1063727022 | Jessica Rose White | Dentist | 76 Nealy Blvd, Langley Afb, VA 23665-2022 | 2010-08-16 |
| 1891812491 | Sandra S. Hearne | Dentist | 45 Pine Street, 1st Medical Group, Langley Afb, VA 23665-2080 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588488 | Nishchal Mukesh Dalal | Dentist | 2003 Woodbrook Ct, Charlottesville, VA 22901-1148 | 2020-11-08 |
| 1679173140 | Obada Itemaad Salem | Dentist | 15124 Majestic Creek Dr, South Chesterfield, VA 23834-6828 | 2020-10-26 |
| 1205434628 | Helina Mesfun | Dentist | 6512 Greenview Ln, Springfield, VA 22152-2918 | 2020-10-16 |
| 1952909731 | Kimia Khoshroo | Dentist | 1444 Kempsville Rd Ste 101, Virginia Beach, VA 23464-7302 | 2020-10-13 |
| 1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
| 1184221616 | American Dental Pllc | Dentist | 4601 Pinecrest Office Park Dr Ste D, Alexandria, VA 22312-1442 | 2020-10-07 |
| 1013523380 | Nour Hussam Tellawi | Dentist | 5911 Edsall Rd Apt 306, Alexandria, VA 22304-4112 | 2020-09-21 |
| 1760097737 | Jamiah Dawson, Dds, P.C. | Dentist | 12731 Jefferson Ave, Newport News, VA 23602-4317 | 2020-09-15 |
| 1477165561 | Amina Mekic | Dentist | 14337 Newbrook Dr, Chantilly, VA 20151-4258 | 2020-08-19 |
| 1942811906 | Christine Baek Mcandrew | Dentist | 1950 Roland Clarke Pl Ste 420, Reston, VA 20191-1414 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
| City | LANGLEY AFB |
| Zip Code | 23665 |
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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.