Active NPI
Oral Wellness Center of Virginia PLLC
- Dental Clinic/Center
- Charlottesville, VA
National Provider Identifier
1003652207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Charlottesville, VA
- NPI 1093735862
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.