KEVIN M. CLIFFORD (NPI# 1770788069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770788069 |
| Entity Type | Individual |
| Full Name | KEVIN M. CLIFFORD |
| Credential | DDS |
| Practice Address |
1005 Heathercroft Cir Suite 300 Crozet VA 22932-3369 |
| Mailing Address |
1005 Heathercroft Cir Ste 300 Crozet VA 22932-3369 |
| Practice Telephone | 4342054594 |
| Mailing Telephone | 4342054594 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0401411881 | VA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1204 W Main St, Charlottesville, VA 229032824 | 4349240123 | 4342435123 |
| 1215 Lee St, Charlottesville, VA 229083369 | 4349241774 | 4349826417 |
| 1222 Jefferson Park Ave, Charlottesville, VA 229033410 | 4349241774 | 4349826417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568500700 | Kevin A Clifford | Family Medicine | 1015 W Hays St, Suite 6, Boise, ID 83702-5424 | 2007-02-01 |
| 1730539552 | Kevin Clifford | Dentist | 302 N Main St, Kaysville, UT 84037-6766 | 2016-06-13 |
| Street Address |
1005 HEATHERCROFT CIR SUITE 300 |
| City | CROZET |
| State | VA |
| Zip Code | 22932-3369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336467661 | Advanced Center for Physical Therapy, Plc | Clinic/Center | 1005 Heathercroft Cir, Old Trail Village, Suite 200, Crozet, VA 22932-3369 | 2010-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841335031 | George A Guess, Md, PC | Clinic/Center | 5380 Golf Dr, Suite 101, Crozet, VA 22932 | 2007-02-21 |
| 1801950431 | Emery Folger Taylor Jr. | Dentist | 1191 Crozet Ave., Crozet, VA 22932 | 2006-12-20 |
| 1770662751 | John C Schoeb | Dentist | 5974 Jarmans Gap Rd, Crozet, VA 22932 | 2006-11-02 |
| 1962415281 | Laura Melissa Stewart | Social Worker | 1186 Crozet Avenue, Crozet, VA 22932 | 2006-08-15 |
| 1528066545 | Amie R Munson | Family Medicine | 1646 Park Ridge Dr, Crozet, VA 22932 | 2005-07-13 |
| 1699001016 | Elizabeth Monahan Driscoll | Nurse Practitioner | 1646 Park Ridge Dr, Crozet, VA 22932 | 2009-10-20 |
| 1245272376 | Russell C Sawyer | Family Medicine | 1646 Park Ridge Dr, Crozet, VA 22932 | 2006-06-12 |
| 1942248950 | Anne E Boyland | Nurse Practitioner | 1646 Park Ridge Dr, Crozet, VA 22932 | 2006-06-02 |
| 1093093700 | George Albert Guess | Family Medicine | 5380 Golf Dr, Suite 101, Crozet, VA 22932-1512 | 2011-07-29 |
| 1528195039 | David Luedeka | Physical Therapist | 5924 Fried Farm Rd, Crozet, VA 22932-1605 | 2007-02-28 |
| Find all providers in zip 22932 | ||||
| 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 |
|---|---|---|---|---|
| 1447699277 | Crozet Pediatric Dentistry, PC | Dentist | 1005 Heathercroft Cir Ste 300, Crozet, VA 22932-3369 | 2013-06-14 |
| 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 | ||||
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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.