DENTAL ANESTHESIA SERVICES, LLC331 (NPI# 1598043739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598043739 |
| Entity Type | Organization |
| Organization Name | DENTAL ANESTHESIA SERVICES, LLC331 |
| Other Organization Name | ADVANCED SEDATION DENTISTRY |
| Practice Address |
616 Virginia Beach Blvd #102 Virginia Beach VA 23451 |
| Practice Telephone | 7577697155 |
| Practice Fax Number | 8884560253 |
| Mailing Telephone | 7577697155 |
| Mailing Fax Number | 8884560253 |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-07-21 |
| Authorized Official Name | DR. LEN FUTERMAN (OWNER) |
| Authorized Official Telephone | 7577697155 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
0401411282 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 234330 | 05 |
| Other Name | Type Code |
|---|---|
| Advanced Sedation Dentistry | Doing Business As Name - Organization |
| Street Address |
616 VIRGINIA BEACH BLVD #102 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881087740 | Sungmin Peter Jeoun | Dentist | 616 Virginia Beach Blvd, #102, Virginia Beach, VA 23451-4274 | 2015-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547268 | Brynn Arica Carey | Speech-Language Pathologist | Laskin Road Annex, 1413 Laskin Road, Virginia Beach, VA 23451 | 2020-10-29 |
| 1851864094 | Erica Genevieve Johns | Counselor | 253 C Street, Camp Pendleton, Virginia Beach, VA 23451 | 2019-01-10 |
| 1407327729 | Crystal Michelle Larios | Physical Therapy Assistant | Westminster Canterbury, Virginia Beach, VA 23451 | 2018-12-14 |
| 1215423322 | Ketan Patel | Dentist | 395 Norfolk Ave, Virginia Beach, VA 23451 | 2018-07-02 |
| 1356844427 | Kristina Maria Matthews | Nurse's Aide | 1206 Laskin Road, Suite 140-g, Virginia Beach, VA 23451 | 2018-03-14 |
| 1437652823 | Beach Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 2256 W. Great Neck Rd, Virginia Beach, VA 23451 | 2018-03-13 |
| 1740782291 | Sherree Weeks | Speech-Language Pathologist | 1413 Laskin Rd., Va. Beach, VA 23451 | 2018-03-01 |
| 1649709007 | Christine Herslow | Registered Nurse | 2200 Elder Road, Virginia Beach, VA 23451 | 2017-06-08 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| 1306182795 | John Leroy Stacy Jr. | Counselor | 409 Birdneck Cir, Virginia Beach, VA 23451 | 2012-12-12 |
| Find all providers in zip 23451 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922417112 | Dentistry of Virginia Beach, Plc | Clinic/Center | 1805 Colonial Medical Ct, Virginia Beach, VA 23454-3034 | 2014-08-13 |
| 1447502380 | Campbell Plc | Clinic/Center | 3300 Princess Anne Rd Ste 715, Virginia Beach, VA 23456-2603 | 2012-10-02 |
| 1558640946 | Sweeney Utterback Dentistry LLC | Clinic/Center | 814 North Newtown Rd, Virginia Beach, VA 23462-1116 | 2011-08-16 |
| 1649485541 | Peter G. Kuenzli, D.d.s., P.C. | Clinic/Center | 4876 Princess Anne Rd, Suite #111, Virginia Beach, VA 23462-4447 | 2007-05-14 |
| 1669695508 | Robert Lee Kenney Dds | Clinic/Center | 1206 Laskin Rd, Suite 251, Virginia Beach, VA 23451-5263 | 2007-04-10 |
| 1346379278 | Alan D Nachman Dds PC | Clinic/Center | 508 N Birdneck Rd, Suite E, Virginia Beach, VA 23451-6301 | 2007-03-05 |
| 1508403155 | Ideal Smiles Family & Cosmetic Dentistry | Clinic/Center | 367 Independence Blvd, Virginia Beach, VA 23462-2822 | 2019-12-03 |
| 1881230019 | Kempsville Dental | Clinic/Center | 1450 Kempsville Rd, Virginia Beach, VA 23464-7320 | 2019-11-22 |
| 1679085906 | Strawbridge Dental PC | Clinic/Center | 2129 General Booth Blvd Ste 117, Virginia Beach, VA 23454-5872 | 2017-10-26 |
| 1114447703 | Coastal Dental Services, Pllc | Clinic/Center | 5460 Brockie St, Virginia Beach, VA 23464-7737 | 2017-06-23 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23451 |
Please comment or provide details below to improve the information on DENTAL ANESTHESIA SERVICES, LLC331.
| 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.