Eliot William Bird, D.D.S.

Individual provider Active NPI General Practice Dentistry · Ashland, VA

NPI 1003801978 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1003801978
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
0401007232 (VA)
Practice address
10640 Charter Hill CT
Suite 101
Ashland, VA 23005-7740
Phone
(804) 550-1222
Fax
(804) 550-0753
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150728006090 VA Order and Referring Only - Oral Surgery
Practitioner - Oral Surgery
3274847702

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0401007232VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Atlee Family and Cosmetic Dentistry General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401007232 VA Yes

Addresses

Primary practice location

10640 Charter Hill CT
Suite 101
Ashland, VA 23005-7740

Mailing address

10640 Charter Hill CT
Suite 101
Ashland, VA 23005-7740
Phone (804) 550-1222

Other providers in Ashland, VA

All providers in Ashland, VA · General Practice Dentistry in Virginia

Sources for this page

Verify at the official NPI Registry.