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CHARLOTTESVILLE AREA DENTAL ACCESS INC NPI 1861576332


NPI Information

NPI: 1861576332
Provider Name: CHARLOTTESVILLE AREA DENTAL ACCESS INC

Doing Business As: COMMUNITY CHILDREN'S DENTAL CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2778 HYDRAULIC ROAD
SUITE 3
CHARLOTTESVILLE, VA
ZIP 22901
Phone: (434) 293-9300
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CHARLOTTESVILLE AREA DENTAL ACCESS INC is a general practice dentist in Charlottesville, VA. The provider is 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. CHARLOTTESVILLE AREA DENTAL ACCESS INC NPI is 1861576332. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Community Children's Dental Center.

The provider's business location address is:

2778 HYDRAULIC ROAD
SUITE 3
CHARLOTTESVILLE, VA
ZIP 22901-947
Phone: (434) 293-9300
Fax: (434) 973-9310

The provider's authorized official is Rebecca E Weybright .
The authorized official title is Executive Director and has the following contact phone number (434) 293-9300.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes
21223P0221XDentistPediatric DentistryX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19179132MEDICAIDVIRGINIA

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: 4/28/2024

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