VILLAGE ORAL AND IMPLANT SURGERY (NPI# 1730527110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730527110 |
| Entity Type | Organization |
| Organization Name | VILLAGE ORAL AND IMPLANT SURGERY |
| Practice Address |
1503 Dodona Terrace Sw 105 Leesburg VA 20175 |
| Practice Telephone | 8553737688 |
| Mailing Telephone | 8553737688 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |
| Authorized Official Name | DR. BRIAN CHANG (PRESIDENT) |
| Authorized Official Telephone | 8553737688 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
0401413499 | VA | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
0401413779 | VA | Dental Providers |
| Street Address |
1503 DODONA TERRACE SW 105 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033679063 | Warren Joseph Marion | Internal Medicine | 38483 Forest Mills Rd, Leesburg, VA 20175 | 2019-03-25 |
| 1346716925 | Karoline Danielle Seekford | Dentist | 706 S. King St., Suite #5, Leesburg, VA 20175 | 2018-10-22 |
| 1184137242 | K2m, Inc. | Orthopaedic Surgery | K2m, Inc., 600 Hope Parkway Se, Leesburg, VA 20175 | 2017-11-13 |
| 1821511122 | Barsha Baral | Taxi | 651 Tammy Ter Se, Leesburg, VA 20175 | 2017-07-19 |
| 1508316282 | Stefanie Moreno | Social Worker | 914 Rhonda Pl Se, Leesburg, VA 20175 | 2016-10-06 |
| 1164819280 | Hayley Robertson | Behavioral Analyst | 801 Childrens Center Road Sw, Leesburg, VA 20175 | 2015-04-16 |
| 1932597317 | Christine Sauthoff Carter | Speech-Language Pathologist | 212 Wingate Pl Sw, Leesburg, VA 20175 | 2015-01-07 |
| 1174946651 | Sucess By Therapeutic and Educational Play Services | Speech-Language Pathologist | 107 Pheasant Pl Sw, Leesburg, VA 20175 | 2014-02-04 |
| 1790115350 | Ahmed Salem | Behavioral Analyst | 801 Childrens Center Road Sw, Leesburg, VA 20175 | 2013-11-19 |
| 1386077337 | Kathleen Mary Harter | Physical Therapy Assistant | 224-d Cornwall Street, Suite 200, Leesburg, VA 20175 | 2013-08-14 |
| Find all providers in zip 20175 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699166413 | Virginia Regional Oral Surgery Associates | Dentist | 17256 Cannonade Dr, Leesburg, VA 20176-7192 | 2015-02-16 |
| 1821166398 | Joseph John Pelkofski | Dentist | 16 Royal Street Se, Leesburg, VA 20175-3014 | 2006-12-01 |
| 1558332056 | Ed Blanton, Dds, Pa | Dentist | 2149 Us Highway 441, Leesburg, FL 34748-2541 | 2006-02-01 |
| 1457337982 | Brian Byung Chang | Dentist | 1503 Dodona Ter Ste 105, Leesburg, VA 20175-4723 | 2005-12-16 |
| 1225305766 | Institute of Facial & Oral Surgery | Dentist | 44115 Woodridge Pkwy, Suite 200, Leesburg, VA 20176-5199 | 2011-11-29 |
| 1447221825 | Esmond Edward Blanton | Dentist | 2149 Us Highway 441, Leesburg, FL 34748-2541 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058604 | Sherwood Oral Surgery | Dentist | 174b Executive Dr, Danville, VA 24541-4100 | 2020-09-22 |
| 1295348720 | Virginia Plastic Surgery Institute | Dentist | 1016 N Highland St Ste 131b, Arlington, VA 22201-2112 | 2020-08-25 |
| 1487271334 | Moonlight Oral Surgery Pllc | Dentist | 1210 S Glebe Rd Unit 40580, Arlington, VA 22204-0282 | 2020-06-26 |
| 1942826524 | Mira Dental At Tysons Corner Pllc | Dentist | 8201 Greensboro Dr Ste 710, Mc Lean, VA 22102-3818 | 2020-06-19 |
| 1285296814 | South Riding Oral and Implant Surgery | Dentist | 24805 Pinebrook Rd # 318, Chantilly, VA 20152-4126 | 2019-07-03 |
| 1053971861 | Jennifer Rose Van Hook | Dentist | Vcuhs Dept of Omfs Residency, 980566, 1250 E. Marshall Street, Richmond, VA 23298-0566 | 2019-06-14 |
| 1174093835 | Patriot Oral and Facial Surgery Pllc | Dentist | 121 Bulifants Blvd Ste B, Williamsburg, VA 23188-5736 | 2018-11-26 |
| 1881163699 | Loudoun Center for Oral Surgery, Pllc | Dentist | 46161 Westlake Dr Ste 200, Sterling, VA 20165-5871 | 2018-11-21 |
| 1235628991 | Michael Jonathan Theiss | Dentist | 1250 E Marshall St # 980566, Richmond, VA 23298-5051 | 2018-05-08 |
| 1871957043 | Goodwin Oral & Facial Surgery Pllc | Dentist | 3200 Peoples Dr, Ste 210, Harrisonburg, VA 22801-7631 | 2016-04-13 |
| Find all providers with the same taxonomy | ||||
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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.