ELITE SMILES DENTAL (NPI# 1902049372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902049372 |
| Entity Type | Organization |
| Organization Name | ELITE SMILES DENTAL |
| Practice Address |
552 Fort Evans Rd Suite 100 Leesburg VA 20176-4098 |
| Practice Telephone | 7037719494 |
| Practice Fax Number | 7037719340 |
| Mailing Telephone | 7037719494 |
| Mailing Fax Number | 7037719340 |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-04-16 |
| Authorized Official Name | BLAIRE RING (OFFICE MANAGER) |
| Authorized Official Telephone | 7037719494 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
VA | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | ELITE SMILES DENTAL GROUP LLC | 283 Chestnut Hill Rd., Litchfield, CT 06759 |
| Street Address |
552 FORT EVANS RD SUITE 100 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-4098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508001314 | Saxena Dental Inc | Clinic/Center | 552 Fort Evans Rd, Suite 100, Leesburg, VA 20176-4098 | 2008-12-08 |
| 1578918074 | Vlora Blake | Physician Assistant | 552 Fort Evans Rd, Suite 110, Leesburg, VA 20176-3378 | 2016-05-03 |
| 1699186643 | Advanced Spinal Care | Chiropractor | 552 Fort Evans Rd, Suite 306, Leesburg, VA 20176-3378 | 2014-05-13 |
| 1407106826 | Amanda B Dayton | Nurse Practitioner | 552 Fort Evans Rd, Leesburg, VA 20176-3378 | 2012-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| 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 |
|---|---|---|---|---|
| 1215585302 | Geovanny Balderas | Dentist | 19340 Promenade Dr, Leesburg, VA 20176-6500 | 2019-08-31 |
| 1346716925 | Karoline Danielle Seekford | Dentist | 706 S. King St., Suite #5, Leesburg, VA 20175 | 2018-10-22 |
| 1558837856 | Bmsk, Pllc | Dentist | 823 S King St Ste E, Leesburg, VA 20175-3920 | 2018-10-15 |
| 1922345016 | Sue K Moon Dds PC | Dentist | 2 Cardinal Park Dr Se Ste 206a, Leesburg, VA 20175-4401 | 2013-01-09 |
| 1154692408 | Addax Dental Pllc | Dentist | 546 E Market St, Leesburg, VA 20176-4112 | 2012-01-18 |
| 1639446263 | Neibauer Dental Care, PC | Dentist | 1610 Village Market Blvd Se Ste 130, Leesburg, VA 20175-4675 | 2011-11-28 |
| 1992004808 | Payal G. Hanoman | Dentist | 5713 Whisper Pine Dr, Leesburg, FL 34748-1329 | 2011-03-17 |
| 1265699565 | Thomas T Kim | Dentist | 2225 North Citrus Blvd, Leesburg, FL 34748 | 2008-05-22 |
| 1023291424 | Asa Dale Selzer | Dentist | 667 County Road 2421, Leesburg, TX 75451-2291 | 2007-12-10 |
| 1376735431 | Eddie C Orobitg | Dentist | 602 Lee St, Leesburg, FL 34748-5010 | 2007-08-13 |
| Find all providers in LEESBURG | ||||
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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.