PRINCE WILLIAM DENTAL LLC


Address: 7051 Heathcote Village Way Ste 100, Gainesville, VA 20155-3197
Phone: 8486670516

PRINCE WILLIAM DENTAL LLC (NPI# 1609499151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609499151
Entity Type Organization
Organization Name PRINCE WILLIAM DENTAL LLC
Practice Address 7051 Heathcote Village Way Ste 100
Gainesville
VA 20155-3197
Mailing Address 43313 Barnstead Dr
Ashburn
VA 20148-6890
Practice Telephone 8486670516
Mailing Telephone 8486670516
Enumeration Date 2020-05-19
Last Update Date 2020-05-19
Authorized Official Name DR. MADHUSUDHAN REDDY KASIPATHY (DENTIST/ OWNER)
Authorized Official Telephone 8486670516
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA KOWSHIK VADDI 1750583738 01
VA MADHUSUDHAN KASIPATHY 1316100639 01

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities PRINCE WILLIAM DENTAL LLC 7051 Heathcote Village Way Ste 100, Gainesville, Virginia 20155-3197

Office Location

Street Address 7051 HEATHCOTE VILLAGE WAY STE 100
City GAINESVILLE
State VA
Zip Code 20155-3197

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932689387 Debbie Ruth Romero Massage Therapist Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 2018-08-15
1821587114 Anh T. Pham, Dds, General Dentistry, PC Dentist 7544 Gardner Park Dr., Gainesville, VA 20155 2018-05-02
1982118618 Renew Counseling and Services Social Worker 14540 John Marshall Highway, Gainesville, VA 20155 2017-11-16
1952831745 Lauren Gutta Matini Dentist 13801 Heathcote Blvd, 100, Gainesville, VA 20155 2017-06-14
1023546611 Dentists of Gainesville, PC Dentist 8140 Stonewall Shops Square, Gainesville, VA 20155 2017-05-26
1538600036 Prince William H&r Ops Limited Partnership Skilled Nursing Facility 14935 Holly Knoll Lane, Gainesville, VA 20155 2017-03-16
1396191870 Isg Transport, LLC Non-emergency Medical Transport (VAN) 7653 Framingham Ct., Gainesville, VA 20155 2016-05-13
1831518356 Alvorada Dentistry Dentist 13922 Estate Manor Drive, Gainesville, VA 20155 2014-04-11
1215352547 Pamco Care LLC Community/Behavioral Health 7316 Respite Court, Gainesville, VA 20155 2014-02-24
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780293373 Ariana Estefania Zeb Dentist 1230 Sw 11th Ave Apt C309, Gainesville, FL 32601-8255 2020-07-29
1063059764 Zara Zahid Dentist 1395 Center Dr # D11-6, Gainesville, FL 32610-3006 2019-12-02
1053972620 Tasneem Koleilat Dentist 13718 Nw 30th Rd, Gainesville, FL 32606-9325 2019-06-25
1902387301 Jennie Gabriele Ferrer Dentist 1395 Center Drive Ufcd, Dental Tower-second Floor- Office #d2-27, Gainesville, FL 32610-0415 2018-08-23
1508345695 Carlos Kose Jr. Dentist 1395 Center Dr Rm D2-27, Gainesville, FL 32610-3006 2018-08-09
1639661010 Luis E. Rodriguez Leyva Dentist 932 Nw 56th Ter, Gainesville, FL 32605-4480 2018-06-01
1215454830 Whitney Kristine Schaff Dentist 6110 Nw 1st Pl, Gainesville, FL 32607 2017-08-24
1821443540 Elizabeth A Hill, Dds, Pa Dentist 1000 Nw 8th Ave, Suite B, Gainesville, FL 32601-4986 2016-05-02
1477912319 Ashleigh Michelle Weyh Dentist 1016 Sw 8th Ave 102, Gainesville, FL 32601-1334 2016-02-21
1639553514 Amandeep Kaur Dentist 12112 Sierra Sunset Ln, Gainesville, VA 20155-3874 2015-07-10
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Competitor

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City GAINESVILLE
Zip Code 20155

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Dataset Information

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.

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