Organization Active NPI

Wesley S. Creamer, DMD PLC

Doing business as Woodbridge Dental Care

  • General Practice Dentistry
  • Woodbridge, VA
National Provider Identifier
1003657826
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WESLEY S. CREAMER, DMD PLC
Doing business as
Woodbridge Dental Care
Practice address
4565 Daisy Reid Ave Ste 335
Woodbridge, VA 22192-5671
Phone
(703) 670-4994
Fax
(703) 730-2187
NPI assigned
Jun 5, 2024
Last updated
Jun 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Wesley S CreamerNPI 1073534053
Title
Owner Dentist
Phone
(703) 670-4994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

4565 Daisy Reid Ave Ste 335
Woodbridge, VA 22192-5671

Mailing address

4565 Daisy Reid Ave Ste 335
Woodbridge, VA 22192-5671
Phone (703) 670-4994

Other names 1

  • Woodbridge Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

4565 Daisy Reid Ave
Ste 335
Woodbridge, VA 22192
Phone (703) 670-4994

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1003657826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 DAISY REID AVE STE 335",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925671",
            "telephone_number": "703-670-4994",
            "fax_number": "703-730-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 DAISY REID AVE STE 335",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925671",
            "telephone_number": "703-670-4994",
            "fax_number": "703-730-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY S. CREAMER, DMD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "CREAMER",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "703-670-4994"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbridge Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.