JENNIFER WADIAK (NPI# 1487057865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487057865 |
| Entity Type | Individual |
| Full Name | JENNIFER WADIAK |
| Practice Address |
131 Park Hill Dr, Ste A Fredericksburg VA 22401 |
| Mailing Address |
131 Park Hill Dr Ste A Fredericksburg VA 22401-3357 |
| Practice Telephone | 5403730602 |
| Mailing Telephone | 5403730602 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401410109 | VA | Dental Providers |
| Street Address |
131 PARK HILL DR, STE A |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| 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 |
| 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 |
| 1992062277 | Iyad S Hijaz | Dentist | 11 Smokehouse Dr Ste 115, Fredericksburg, VA 22406-8455 | 2012-04-11 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
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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.