PURCELLVILLE PEDIATRIC DENTISTRY (NPI# 1760828297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760828297 |
| Entity Type | Organization |
| Organization Name | PURCELLVILLE PEDIATRIC DENTISTRY |
| Practice Address |
17333 Pickwick Dr Purcellville VA 20132 |
| Mailing Address |
17333 Pickwick Dr Purcellville VA 20132-6173 |
| Practice Telephone | 5404417627 |
| Mailing Telephone | 5404417627 |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |
| Authorized Official Name | NOOSHIN MONAJEMY (OWNER) |
| Authorized Official Telephone | 5404477627 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0401410184 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 008220191 | 05 |
| Street Address |
17333 PICKWICK DR |
| City | PURCELLVILLE |
| State | VA |
| Zip Code | 20132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361471 | Lisa A. Marvil, D.m.d., P.l.l.c. | Dentist | 17341-b Pickwick Drive, Purcellville, VA 20132 | 2020-09-16 |
| 1992945703 | Loudoun Medical Group PC | Internal Medicine | 205 E Hirst Road, Suite 304, Purcellville, VA 20132 | 2009-03-06 |
| 1821242587 | Alice Elizabeth Fields | Psychiatry & Neurology | 17340 Pickwick Dr Ste 130, Purcellville, VA 20132 | 2008-11-07 |
| 1194867036 | Loudoun Family & Relationship Counseling | Social Worker | 215 Loudoun St, Leesburg, VA 20132 | 2007-02-13 |
| 1083785547 | Jacqueline R Fleming | Social Worker | 170 W Main Street, 201, Purcellville, VA 20132 | 2006-11-13 |
| 1023197688 | Carol E Harkrader | Psychiatry & Neurology | 170 West Main St, 204, Purcellville, VA 20132 | 2006-11-03 |
| 1083702112 | John Robert Mcwilliams Jr. | Chiropractor | 101 F South Maple Avenue, Purcellville, VA 20132 | 2006-10-11 |
| 1023106408 | Glenna B. Winnie | Pediatrics | 205 E. Hirst Road, Suite 303, Purcellville, VA 20132 | 2006-10-10 |
| 1548352826 | Peter M Daddio | Chiropractor | 17337b Pickwick Dr, Purcellville, VA 20132 | 2006-09-28 |
| 1285651257 | Lisa A Marvil | Dentist | 17341 Pickwick Dr., Suite B, Purcellville, VA 20132 | 2006-07-16 |
| Find all providers in zip 20132 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998878 | Nadgie Ortiz Diaz Dmd Pllc | Dentist | 24560 Southpoint Dr Ste 240, Aldie, VA 20105-3505 | 2020-09-24 |
| 1154948289 | Cardinal Pediatric Dentistry Pllc | Dentist | 11551 Nuckols Rd Ste H, Glen Allen, VA 23059-5565 | 2020-07-06 |
| 1043842214 | Funpedopark LLC | Dentist | 1009 Centerbrooke Ln Ste 210, Suffolk, VA 23434-8664 | 2020-02-06 |
| 1861023251 | Bitty Bites Pediatric Dentistry Inc. | Dentist | 11600 Busy St Ste 101, North Chesterfield, VA 23236-4066 | 2020-02-04 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1770149742 | Noeen Arshad | Dentist | 129 University Blvd Ste A, Harrisonburg, VA 22801-3751 | 2019-05-15 |
| 1609353499 | Prachi Chandalia | Dentist | 609 E Monroe Ave, Alexandria, VA 22301-3020 | 2018-07-24 |
| 1255817730 | Fusion Dental | Dentist | 1401 Chain Bridge Rd, Mc Lean, VA 22101-6026 | 2018-07-17 |
| 1952897050 | Danielle Miller | Dentist | 11934 W Broad St Ste 120, Henrico, VA 23233-1100 | 2018-07-02 |
| 1063929057 | Anna Maria Boggs, Dmd, PC | Dentist | 1947 A Medical Ave, Harrisonburg, VA 22801 | 2017-12-29 |
| Find all providers with the same taxonomy | ||||
| City | PURCELLVILLE |
| Zip Code | 20132 |
Please comment or provide details below to improve the information on PURCELLVILLE PEDIATRIC DENTISTRY.
| 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.