Williamsburg Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

WILLIAMSBURG PEDIATRIC DENTISTRY PLLC

Practice address

220 Nat Turner Blvd S
Newport News, VA 23606-2899

Phone

(757) 240-5711

NPI assigned

Dec 13, 2012

Organization subpart

No

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

Authorized official

Name

Haralambos Garofalis

Title

Owner, Manager

Phone

(757) 240-5711

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jayakumar Jayaraman, BDS, MDS, MS, PHD

  • Pediatric Dentistry
  • Richmond, VA
  • NPI 1861093957
  NPD (past)
• Gurvinder Kaur

  • Pediatric Dentistry
  • Williamsburg, VA
  • NPI 1174297816
  NPD (past)

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1033455449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5388 DISCOVERY PARK BLVD",
            "address_2": "SUITE 240",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888218",
            "telephone_number": "757-259-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NAT TURNER BLVD S",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062899",
            "telephone_number": "757-240-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "GAROFALIS",
        "authorized_official_first_name": "HARALAMBOS",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "757-240-5711"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha B Williams, OT
• Tamara Lynn Williams
• Tamara Patrice Williams, LPC
• Verneeta Lynne Williams, MD
• Williamsburg Orthotics and Prosthetics Inc
• Bridgitte Willis-Townsell
• Jessica Willis, FNP-BC
• Mary E Willis, NP
• Nicole Willis, NP
• Kelli Willshire, LCSW

• Pediatric Dentistry in Newport News, VA
• Providers in Newport News, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.