DENTAL PROFESSIONALS OF VIRGINIA, P.C. (NPI# 1841775012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841775012 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF VIRGINIA, P.C. |
| Other Organization Name | DENTAL CARE OF LIGHTFOOT |
| Practice Address |
6399 Richmond Rd Ste 101 Williamsburg VA 23188-1729 |
| Practice Telephone | 7577071610 |
| Practice Fax Number | 7573453524 |
| Mailing Telephone | 7577078018 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-12-20 |
| Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175408426 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF VIRGINIA, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Care of Lightfoot | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969034 | Dental Professionals of Virginia, P.C. | Dentist | 7015 Old Keene Mill Rd Ste 101, Springfield, VA 22150-2805 | 2020-07-09 |
| 1285199356 | Dental Professionals of Virginia, P.C. | Dentist | 1705 Amherst St Ste L02, Winchester, VA 22601-3345 | 2019-02-04 |
| 1598247405 | Dental Professionals of Virginia, P.C. | Dentist | 125 Browns Way Rd, Midlothian, VA 23114-9507 | 2018-09-06 |
| 1285146480 | Dental Professionals of Virginia, P.C. | Dentist | 1200 Wolf Rock Dr, Purcellville, VA 20132-5835 | 2017-10-27 |
| 1811406614 | Dental Professionals of Virginia, P.C. | Dentist | 249 Hanbury Rd E Ste 110, Chesapeake, VA 23322-6623 | 2017-09-25 |
| 1205217817 | Dental Professionals of Virginia, P.C. | Dentist | 2105 Princess Anne Rd, 108, Virginia Beach, VA 23456-4001 | 2015-06-10 |
| 1073901161 | Dental Professionals of Virginia, P.C. | Dentist | 6255 College Dr, Suite E, Suffolk, VA 23435-2768 | 2014-12-26 |
| 1871981993 | Dental Professionals of Virginia, P.C. | Dentist | 1909 Landstown Centre Way, Suite 100, Virginia Beach, VA 23456-1625 | 2014-12-23 |
| 1992103543 | Dental Professionals of Virginia, P.C. | Dentist | 1020 Elden St, Suite 106, Herndon, VA 20170-3843 | 2014-12-15 |
| 1639783251 | Dental Professionals of Virginia, P.C. | Dentist | 251 Nat Turner Blvd S, Newport News, VA 23606-3076 | 2020-09-01 |
| Street Address |
6399 RICHMOND RD STE 101 |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788003 | Young Jin Lee | Dentist | 6399 Richmond Rd Ste 101, Williamsburg, VA 23188-1729 | 2020-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| 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 |
|---|---|---|---|---|
| 1194173922 | Michael C. Shuck, Dds PC | Dentist | 1480 Quarterpath Rd, Ste 2a, Williamsburg, VA 23185 | 2016-06-02 |
| 1801278973 | Jerrica Norvell | Dentist | 821 S Highway 25 W, Williamsburg, KY 40769-1918 | 2015-06-24 |
| 1497015515 | Maria E Amador | Dentist | 240 Mclaws Cir Ste 153, Williamsburg, VA 23185-5678 | 2012-05-22 |
| 1942586060 | Smith and Brown Family Dentistry | Dentist | 821 S Hwy 25w, Williamsburg, KY 40769 | 2011-11-03 |
| 1346537271 | Kayla Fields | Dentist | 640 W Highway 92, Williamsburg, KY 40769 | 2011-06-29 |
| 1447573902 | Dr. Rick J Rubin, D.m.d. PC | Dentist | 213 Bulifants Blvd, Suite E, Williamsburg, VA 23188-5733 | 2010-03-11 |
| 1588803019 | Charles Sonson | Dentist | 3028 Travis Pond Rd, Williamsburg, VA 23185-7665 | 2009-02-05 |
| 1962650465 | Little Boss Moses | Dentist | 841. S. Hwy 25w Suite 9, Williamsburg, KY 40769 | 2008-09-09 |
| 1427236470 | Ronald James Smalls | Dentist | 1309 Jamestown Road, Suite 103, Williamsburg, VA 23185-3380 | 2008-02-01 |
| 1902098817 | Michael C. Shuck | Dentist | 1480-2a Quarterpath Road, Williamsburg, VA 23185 | 2007-08-14 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
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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.