DENTAL PROFESSIONALS OF VIRGINIA, P.C (NPI# 1992127989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992127989 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF VIRGINIA, P.C |
| Other Organization Name | DENTAL CARE OF MANASSAS |
| Practice Address |
11670 Sudley Manor Dr Manassas VA 20109-2842 |
| Practice Telephone | 5713596424 |
| Practice Fax Number | 5713596579 |
| Mailing Telephone | 5713596424 |
| Mailing Fax Number | 5713596579 |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-02-24 |
| Authorized Official Name | CARMEN WOODS (INSURANCE/CREDENTIALING) |
| Authorized Official Telephone | 2175405141 |
| 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 Manassas | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104253186 | Dental Professionals of Virginia, P.c | Dentist | 43170 Southern Walk Plz, Suite 116, Broadlands, VA 20148-4464 | 2013-10-04 |
| 1649524752 | Dental Professionals of Virginia, P.c | Dentist | 70 W Mercury Blvd Ste 102, Hampton, VA 23669-2570 | 2012-10-29 |
| 1922244813 | Dental Professionals of Virginia, P.c | Dentist | 5312 Carolina Place, Springfield, VA 22151-4401 | 2008-12-23 |
| 1942413042 | Dental Professionals of Virginia, P.c | Dentist | 9675 Liberia Ave, Suite 101, Manassas, VA 20110-1741 | 2007-05-07 |
| 1447463443 | Dental Professionals of Virginia, P.c | Dentist | 9439 Lorton Market St, Lorton, VA 22079-1963 | 2007-05-07 |
| 1922211929 | Dental Professionals of Virginia, P.c | Dentist | 6546 Little River Tpke, Alexandria, VA 22312-1443 | 2007-05-07 |
| 1346770682 | Dental Professionals of Virginia, P.c | Dentist | 13801 Heathcote Blvd, Ste 100, Gainesville, VA 20155 | 2017-06-19 |
| 1770914269 | Dental Professionals of Virginia, P.c | Dentist | 11540 Midlothian Tpke, North Chesterfield, VA 23235-4747 | 2013-12-09 |
| 1437595899 | Dental Professionals of Virginia, P.c | Dentist | 1600 N Coalter St, Suite 304, Staunton, VA 24401-2551 | 2013-05-13 |
| 1912251034 | Dental Professionals of Virginia, P.c | Dentist | 6671b Backlick Rd, Suite 15-17, Springfield, VA 22150-2702 | 2012-10-29 |
| Street Address |
11670 SUDLEY MANOR DR |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043620263 | Tamasha Triplett Scott | Dentist | 11670 Sudley Manor Dr, Suite 290, Manassas, VA 20109-2842 | 2014-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| 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 |
|---|---|---|---|---|
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1609361849 | Rasha Jamal Hussein | Dentist | 12701 Galveston Ct, Manassas, VA 20112 | 2018-06-29 |
| 1265818363 | Good Choi's Dental Care, P.C. | Dentist | 10555 Crestwood Dr., Unit B, Manassas, VA 20109 | 2015-07-31 |
| 1801278726 | Happy Smile Dental, Inc | Dentist | 8428 Dorsey Cir Ste 201, Manassas, VA 20110-8302 | 2015-06-27 |
| 1497149132 | Sara Raja | Dentist | 6954 Jeremiah Ct, Manassas, VA 20111-4392 | 2015-03-19 |
| 1033508734 | Virginia Dental Partners Pllc | Dentist | 10482 Sudley Manor Drive, Manassas, VA 20109 | 2015-01-19 |
| 1427392729 | Eunice Song | Dentist | 9378 Forestwood Ln Ste A, Manassas, VA 20110-4742 | 2012-11-27 |
| 1154697720 | Vincy M Punnoose | Dentist | 10432 Balls Ford Rd, Suite 300, Manassas, VA 20109 | 2012-03-28 |
| 1295002814 | Neibauer Dental Care, PC | Dentist | 10051 Market Cir, Manassas, VA 20110-2120 | 2011-11-28 |
| 1093090516 | Ayesha Sultan | Dentist | 6312 Hoadly Rd, Manassas, VA 20112-3422 | 2011-10-16 |
| Find all providers in MANASSAS | ||||
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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.