DR. WILLIAM TILDEN BOLAND III (NPI# 1811099930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811099930 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM TILDEN BOLAND III |
| Credential | DMD |
| Practice Address |
5700 Old Richmond Avenue Suite D15 Richmond VA 23226-1828 |
| Practice Telephone | 8042884103 |
| Practice Fax Number | 8042884505 |
| Mailing Telephone | 8042884103 |
| Mailing Fax Number | 8042884505 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401007800 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 101562 | 01 | |
| UNITED CONCORDIA | 783066 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730574211 | William Boland | Student in an Organized Health Care Education/Training Program | 2617 Plantation Cove Cir, Vestavia, AL 35226-2861 | 2015-04-01 |
| 1376646976 | William Patrick Boland | Dentist | 453 South Main Street, Cheshire, CT 06410-3118 | 2006-09-07 |
| 1003337858 | William Kells Boland | Emergency Medicine | 1 Barnes-jewish Hospital Plaza, St. Louis, MO 63110 | 2017-07-02 |
| 1336266337 | William M. Boland | Rehabilitation Practitioner | 247 3rd Ave, Suite 503, New York, NY 10010-7457 | 2007-03-23 |
| Street Address |
5700 OLD RICHMOND AVENUE SUITE D15 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23226-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467532960 | Carey Nelson Herring | Dentist | 5700 Old Richmond Avenue, Stuie A2, Richmond, VA 23226 | 2006-10-17 |
| 1053416503 | Edward John Thomason | Dentist | 5700 Old Richmond Avenue, Suite # B10, Richmond, VA 23226 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033625744 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 5875 Bremo Rd Ste 606, Richmond, VA 23226 | 2017-12-18 |
| 1922517028 | Karen Margaret Karwowski | Physical Therapist | 1901 Charles Street, Crestview Elementary School, Henrico, VA 23226 | 2017-09-21 |
| 1831636463 | Tammy A Lewis | Nurse Practitioner | 5803 Bremo Road, Richmond, VA 23226 | 2017-01-20 |
| 1497116438 | Ashton Williams | Counselor | 2008 Libbie Avenue, Suite 101, Richmond, VA 23226 | 2016-03-18 |
| 1396110078 | Nino Carlo Deleon | Dentist | 5500 Monument Ave Ste G, Richmond, VA 23226 | 2015-12-07 |
| 1083097794 | Amy Michelle Kruger | Podiatrist | 2008 Bremo Rd Ste 100, Richmond, VA 23226 | 2015-06-30 |
| 1841682762 | James Bryce Lothian | Pediatrics | 5875 Bremo Road, Mob South, Suite 303, Pediatric Lung Care, Richmond, VA 23226 | 2015-03-02 |
| 1811334980 | Carmen Wong | Physical Medicine & Rehabilitation | 1901 Libbie Ave, Richmond, VA 23226 | 2013-05-30 |
| 1841533890 | Lauren Etz Freeman | Nurse Practitioner | 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 | 2013-03-28 |
| 1609126044 | Tammy Denise Mills | Nurse Practitioner | 1501 Maple Ave Ste 301, Richmond, VA 23226 | 2012-09-13 |
| Find all providers in zip 23226 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740801000 | Tamara Lin | Dentist | 5116 Mulligan Ct, Richmond, CA 94806-5898 | 2020-04-28 |
| 1699394916 | Caitlin Suzanne Shannon | Dentist | 2519 E Main St Ste 102, Richmond, IN 47374-5869 | 2020-04-16 |
| 1982247953 | Benjamin Crowley, Dds PC | Dentist | 6808 Stoneman Rd, Richmond, VA 23228-2744 | 2019-10-23 |
| 1326695339 | New Era Healthcare Inc. | Dentist | 6300 Oak Middle Ct Apt 104, Richmond, VA 23231-4872 | 2019-08-23 |
| 1770145617 | Morgan Worley | Dentist | 4818 Waterview Town Center Dr Ste 100, Richmond, TX 77407-2384 | 2019-07-01 |
| 1083188908 | Richmond Pediatric Dentistry and Orthodontics | Dentist | 8503 Patterson Ave Ste G, Richmond, VA 23229-6442 | 2019-01-14 |
| 1699254318 | Blvd Dentistry Richmond Pllc | Dentist | 18320 W. Airport Rd, Suite 200, Richmond, TX 77407 | 2018-08-13 |
| 1083190011 | Kayla Marie Roe | Dentist | 6605 W Broad St Ste 105, Richmond, VA 23230-1714 | 2018-07-12 |
| 1376037341 | Adrienne Lashae Childress | Dentist | 4095 Atwood Dr Ste A, Richmond, KY 40475-8325 | 2018-06-21 |
| 1023509908 | Richmond City Dentistry | Dentist | 1517 W Broad St, Richmond, VA 23220-3016 | 2018-05-25 |
| Find all providers in RICHMOND | ||||
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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.