KOOL SMILES VAN, PC (NPI# 1609162460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609162460 |
Entity Type | Organization |
Organization Name | KOOL SMILES VAN, PC |
Other Organization Name | KOOL SMILES |
Practice Address |
2065 S Pleasant Valley Rd Winchester VA 22601-7001 |
Mailing Address |
1090 Nothchase Pkwy Ste 150 Marietta GA 30067 |
Practice Telephone | 7709169000 |
Mailing Telephone | 7709169000 |
Enumeration Date | 2011-06-21 |
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 | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
N | 1223E0200X |
Dentist Specialization: Endodontics |
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 |
---|---|---|---|---|
1619262391 | Kool Smiles Van, PC | Dentist | 365 Lowes Dr, Danville, VA 24540-5900 | 2011-06-10 |
1417242199 | Kool Smiles Van, PC | Dentist | 135 Conston Ave, Christiansburg, VA 24073-1151 | 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 |
2065 S PLEASANT VALLEY RD |
City | WINCHESTER |
State | VA |
Zip Code | 22601-7001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346760915 | Ilaf Al Mawaldi | Dentist | 2065 S Pleasant Valley Rd, Winchester, VA 22601-7001 | 2017-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184288961 | Michael Frederick Ellis | Social Worker | 2913 Pleasant Valley Avenue, Suite 125, Winchester, VA 22601 | 2019-04-26 |
1437713542 | Ann Marie Aldrich | Nurse Practitioner | 172 Linden Dr, Winchester, Suite #100, Wincehster, VA 22601 | 2019-04-24 |
1023570678 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 3111 Valley Ave., Unit 112c, Creekside Station, Winchester, VA 22601 | 2019-04-03 |
1992203574 | Deborah K. Inaba | Clinical Exercise Physiologist | 1410 S Braddock St, Winchester, VA 22601 | 2018-01-29 |
1043728272 | Emily Anne Griffin | Registered Nurse | 440 W Jubal Early Dr Ste 240, Winchester, VA 22601 | 2018-01-23 |
1114431467 | Alicia Moreno Billy | Social Worker | 817 Cedar Creek Grade, Suite 202, Winchester, VA 22601 | 2017-11-24 |
1558800391 | Heather Leach | Counselor | 116 Piccadilly Street, Suite 12, Winchester, VA 22601 | 2017-02-13 |
1649718396 | Hunt Country Health Services | Home Health | 31 S Braddock St Ste 106, Winchester, VA 22601 | 2017-02-02 |
1568830958 | Megan Mcintyre | Physical Therapist | 3052 Valley Ave Ste 101, Winchester, VA 22601 | 2015-09-02 |
1093195299 | Sara Elizabeth Archetti | Speech-Language Pathologist | Frederick County Public Schools, 1415 Amherst Street, Winchester, VA 22601 | 2015-06-02 |
Find all providers in zip 22601 |
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 |
---|---|---|---|---|
1902405202 | Robert Marc Grassi | Dentist | 18 Sussex Rd, Winchester, MA 01890-3849 | 2020-10-19 |
1447801600 | Rowena Gbenoba, A Dental Corporation | Dentist | 30688 Benton Rd Ste B102, Winchester, CA 92596-8469 | 2019-09-27 |
1811549272 | Carol Yacoub | Dentist | 2270 Valor Dr, Winchester, VA 22601-3699 | 2019-07-15 |
1184283269 | Westover Family Dentistry PC | Dentist | 11 Meadow Branch Ave, Winchester, VA 22601-6255 | 2019-06-11 |
1598294324 | Hassan Farooq | Dentist | 650 Cedar Creek Grade Ste 211, Winchester, VA 22601-6454 | 2017-06-06 |
1669827671 | Pavani Gedela | Dentist | 3119 Valley Ave Ste 108, Winchester, VA 22601-2665 | 2016-04-27 |
1093124554 | Sterling Gary Williams Jr. | Dentist | 501 Princess Ct, Winchester, VA 22601-3127 | 2014-08-09 |
1649688797 | Mena Botros | Dentist | 500 W Jubal Early Dr Ste 200, Winchester, VA 22601-6508 | 2014-07-31 |
1972915940 | Jeffrey Todd Scobee | Dentist | 1216 W Lexington Ave, Winchester, KY 40391-1127 | 2014-05-27 |
1114340122 | Winchester Family Dental | Dentist | 831 Main St Ste 2, Winchester, MA 01890-1997 | 2014-01-27 |
Find all providers in WINCHESTER |
City | WINCHESTER |
Zip Code | 22601 |
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.