DR. BRIAN POULSEN (NPI# 1568861250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568861250 |
| Entity Type | Individual |
| Full Name | DR. BRIAN POULSEN |
| Credential | D.D.S. |
| Practice Address |
2166 Magnolia Ave Buena Vista VA 24416-3112 |
| Practice Telephone | 5402612284 |
| Mailing Telephone | 5402612284 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
041414578 | VA | Dental Providers |
| Street Address |
2166 MAGNOLIA AVE |
| City | BUENA VISTA |
| State | VA |
| Zip Code | 24416-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825855 | Marian Gowdy | Specialist/Technologist | 1 University Hill Drive, Buena Vista, VA 24416 | 2017-04-17 |
| 1578668448 | Margaret A Campbell Dds PC | Dentist | 2131 Maenolia Ave, Buena Vista, VA 24416 | 2006-09-14 |
| 1467931311 | Laura Roberts Mays | Nurse Practitioner | 2252 Magnolia Ave, Buena Vista, VA 24416 | 2018-08-11 |
| 1982104253 | Brian Morris | Pharmacist | 2263 Magnolia Ave, Buena Vista, VA 24416 | 2018-02-13 |
| 1093086381 | Jerry Mason Vanbrocklin | Pharmacist | 2263 Magnolia Ave, Buena Vista, VA 24416 | 2012-01-19 |
| 1467780999 | Preferred Call and Response, LLC | Emergency Response System Companies | 399 E. 29th Street, Buena Vista, VA 24416-0152 | 2009-11-20 |
| 1912203019 | Buena Vista Rescue Squad Inc | Ambulance | 2307 Sycamore Ave, Buena Vista, VA 24416-0668 | 2011-02-07 |
| 1467839431 | Pro Careers Inc./bvpc | Home Health | 393 E 29th St Ste 1, Buena Vista, VA 24416-1291 | 2015-04-29 |
| 1619354057 | Pro Careers Inc./bvrc | In Home Supportive Care | 393 E 29th St Ste 1, Buena Vista, VA 24416-1291 | 2015-05-06 |
| 1164809505 | Pro Careers Inc./bvcd | Case Management | 393 E 29th St Ste 1, Buena Vista, VA 24416-1291 | 2015-05-06 |
| Find all providers in zip 24416 | ||||
| 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 |
|---|---|---|---|---|
| 1629639349 | Susan E Davis | Dentist | 707 Us Highway 24 N, Buena Vista, CO 81211-9863 | 2019-06-24 |
| 1902043250 | Jarvis Edward Hansford | Dentist | 715 Cedar St., Buena Vista, CO 81211-0790 | 2009-01-08 |
| 1912171414 | Margaret A Campbell | Dentist | 2131 Magnolia Ave, Buena Vista, VA 24416-3111 | 2008-04-15 |
| 1538214796 | Brent D. Dryden, Dds,pc | Dentist | 2233 Magnolia Ave, Buena Vista, VA 24416-3121 | 2007-01-25 |
| 1932282795 | Robert C. Provorse | Dentist | 700 Highway 24 South, Buena Vista, CO 81211-1305 | 2006-10-23 |
| 1346250479 | Ryan Andrew Mueller | Dentist | 24 Oak St., Buena Vista, CO 81211 | 2006-08-09 |
| 1033372263 | Burke W. Soffe | Dentist | 2233 Magnolia Ave, Buena Vista, VA 24416-3121 | 2008-07-08 |
| 1629119078 | Brent Dryden | Dentist | 2233 Magnolia Ave, Buena Vista, VA 24416-3121 | 2007-02-09 |
| 1740321033 | Michael Dereus | Dentist | 2233 Magnolia Ave, Buena Vista, VA 24416-3121 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154516 | Kim Ierna Kitchen Dds, PC | Dentist | 500 Montgomery St Ste 250, Alexandria, VA 22314-1558 | 2020-11-05 |
| 1548877194 | Vishakha N Devrukhkar | Dentist | 4011 Wards Rd Ste A, Lynchburg, VA 24502-2943 | 2020-09-28 |
| 1477160547 | Modaresi & Avin Dds Pllc | Dentist | 24805 Pinebrook Rd Ste 112, Chantilly, VA 20152-4127 | 2020-09-23 |
| 1215549654 | Alan Ostrovsky | Dentist | 9225 Doerr Rd # 1220, Fort Belvoir, VA 22060-2204 | 2020-08-18 |
| 1861003576 | Se Eun Ahn | Dentist | 1647 Admiral Taussig Blvd Ste 241, Norfolk, VA 23511-2803 | 2020-08-14 |
| 1891305868 | Chanel Von Schlichting | Dentist | 1300 Cedar Rd Ste 100, Chesapeake, VA 23322-7414 | 2020-08-05 |
| 1952910358 | Erica Vetter | Dentist | 10525 Braddock Rd Ste 9a, Fairfax, VA 22032-2257 | 2020-07-31 |
| 1336758382 | Chitti Mengji | Dentist | 3441 Kilburn Cir Apt 618, Henrico, VA 23233-1137 | 2020-07-27 |
| 1518575851 | Reza Tahernia & Associates Pllc | Dentist | 1901 N Moore St Ste 501, Arlington, VA 22209-1700 | 2020-07-22 |
| 1467060996 | Daniel Kuyk | Dentist | 616 Campus Dr Ste 100, Abingdon, VA 24210-9706 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | BUENA VISTA |
| Zip Code | 24416 |
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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.