SMILES OF VIRGINIA FAMILY DENTAL CENTER PLLC NPI 1568820702

NPI Information

NPI: 1568820702
Provider Name: SMILES OF VIRGINIA FAMILY DENTAL CENTER, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 49D2189054

Address:
633 CEDAR CREEK GRADE
WINCHESTER, VA
ZIP 22601
Phone: (540) 450-2100
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SMILES OF VIRGINIA FAMILY DENTAL CENTER, PLLC is a dental clinic center in Winchester, VA. SMILES OF VIRGINIA FAMILY DENTAL CENTER, PLLC NPI is 1568820702. The provider is registered as an organization entity type.

The provider's business location address is:

633 CEDAR CREEK GRADE
WINCHESTER, VA
ZIP 22601-708
Phone: (540) 450-2100

The provider's authorized official is Niels Oestervemb .
The authorized official title is Owner and has the following contact phone number (319) 936-9008.

The CLIA number assigned to this NPI record is 49D2189054 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2016 and was last updated on 3/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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