OPTIMUM DENTAL (NPI# 1639509102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639509102 |
| Entity Type | Organization |
| Organization Name | OPTIMUM DENTAL |
| Practice Address |
7389 Lee Hwy Ste 101 Falls Church VA 22042-1737 |
| Practice Telephone | 7038764700 |
| Practice Fax Number | 7038764705 |
| Mailing Telephone | 7038764700 |
| Mailing Fax Number | 7038764705 |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |
| Authorized Official Name | MRS. MARCIA WALLER (OFFICE MANAGER) |
| Authorized Official Telephone | 7038764700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 04041411907 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194108332 | Optimum Dental | Clinic/Center | 7389 Lee Hwy, Ste. #101, Falls Church, VA 22042-1736 | 2015-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | OPTIMUM DENTAL LLC | 7389 Lee Highway Ste 101, Falls Church, Virginia 22042 |
| Colorado Business Entities | Optimum Dental Technologies, LLC | 1360 S. Wadsworth Blvd., Suite 100, Lakewood, CO 80232 |
| Street Address |
7389 LEE HWY STE 101 |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22042-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881027084 | Chelsea Lynn Balderson | Dentist | 7389 Lee Hwy Ste 101, Falls Church, VA 22042-1737 | 2013-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220190 | Alicia Derusso St. Thomas | Student in an Organized Health Care Education/Training Program | Obgyn Admin Suite 2nd Floor South Tower, 3300 Gallows Rd, Falls Church, VA 22042 | 2020-06-23 |
| 1316574320 | Marina A Kalugina | Radiologic Technologist | 3330 Gallows Rd, Falls Church, VA 22042 | 2020-03-27 |
| 1992347645 | Home Injections Plus LLC | Registered Nurse | 7598 Lakeside Village Dr, Unit E, Falls Church, VA 22042 | 2019-10-15 |
| 1205493129 | Meredith Hooover | Obstetrics & Gynecology | 3300 Gallows Rd Falls Church, Va 22042 - 3307, Arlington, VA 22042 | 2019-05-27 |
| 1699269076 | Ibrahim Tora | Student in an Organized Health Care Education/Training Program | Department of Medicine, Npt-2, 3300 Gallows Rd, Falls Church, VA 22042 | 2018-06-19 |
| 1528559960 | Robert Patton | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Department of Medicine, Npt-2, Falls Church, VA 22042 | 2018-05-22 |
| 1144726951 | Helene M Sterbling | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Falls Church, VA 22042 | 2018-04-02 |
| 1659876530 | Cassandra Lyn Presti | Obstetrics & Gynecology | 3300 Gallows Rd Fl 2, Falls Church, VA 22042 | 2018-03-24 |
| 1225530157 | Sara Sigler | Audiologist | 3036 Graham Rd - Main Office Suite, Graham Road Community Building, Falls Church, VA 22042 | 2018-03-07 |
| 1003314949 | Ameriwell Clinics Falls Church, LLC | Chiropractor | 6521 Arlington Blvd Suite 402, Falls Church, VA 22042 | 2018-01-25 |
| Find all providers in zip 22042 | ||||
| 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 |
|---|---|---|---|---|
| 1154930444 | Samuel Lee Wolfe | Dentist | 444 W Broad St Ste D, Falls Church, VA 22046-3362 | 2020-07-23 |
| 1760036891 | Kasra Khamooshi | Dentist | 5205 Leesburg Pike Ste 1406, Falls Church, VA 22041-3894 | 2019-07-26 |
| 1053971952 | Nirali Khanpara | Dentist | 7502 Parkwood Ct Apt 302, Falls Church, VA 22042-7502 | 2019-06-13 |
| 1548728801 | Falls Church Modern Dentistry, PC | Dentist | 1212 W Broad St, Falls Church, VA 22046-2116 | 2019-03-06 |
| 1194219139 | Smile Studio Specialist Inc | Dentist | 7787 Leesburg Pike # 200, Falls Church, VA 22043-2412 | 2018-06-21 |
| 1437674835 | David Matney | Dentist | 313 Park Ave Ste 103, Falls Church, VA 22046-3303 | 2017-08-07 |
| 1417403767 | Super Smile Center of Tysons | Dentist | 7115 Leesbug Pike, #216, Falls Church, VA 22043 | 2016-08-28 |
| 1740639947 | Sina Hedayatnia | Dentist | 5113 Leesburg Pike Ste 811, Falls Church, VA 22041 | 2016-06-08 |
| 1235507575 | Qing Xu | Dentist | 3871 Pinewood Ter, Falls Church, VA 22041-1214 | 2015-09-03 |
| 1962896050 | Anderson Dental Associates | Dentist | 3701 S. George Mason Dr., Suite#c7n, Falls Church, VA 22041 | 2015-03-26 |
| Find all providers in FALLS CHURCH | ||||
| City | FALLS CHURCH |
| Zip Code | 22042 |
Please comment or provide details below to improve the information on OPTIMUM DENTAL.
| 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.