Organization Active NPI

Oral Wellness Center of Virginia PLLC

  • Dental Clinic/Center
  • Charlottesville, VA
National Provider Identifier
1003652207
Registry record updated Aug 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ORAL WELLNESS CENTER OF VIRGINIA PLLC
Practice address
505 Faulconer Dr Ste 1D
Charlottesville, VA 22903-4981
Phone
(434) 293-9311
Fax
(434) 293-2105
NPI assigned
Jul 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark Gregory Smith, DDS
Title
President
Phone
(703) 965-4188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

505 Faulconer Dr Ste 1D
Charlottesville, VA 22903-4981

Mailing address

505 Faulconer Dr Ste 1D
Charlottesville, VA 22903-4981
Phone (703) 965-4188

National Provider Directory

National Provider Directory

Locations

505 Faulconer Dr
Ste 1D
Charlottesville, VA 22903
Phone (434) 293-9311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754179200000",
    "number": "1003652207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 FAULCONER DR STE 1D",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034981",
            "telephone_number": "703-965-4188",
            "fax_number": "434-293-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 FAULCONER DR STE 1D",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034981",
            "telephone_number": "434-293-9311",
            "fax_number": "434-293-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL WELLNESS CENTER OF VIRGINIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-965-4188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.