Powhatan Gentle Dentistry PLC

Primary specialty

DentistTaxonomy code 122300000X

License

0401410103 Issued in VA

Legal business name

POWHATAN GENTLE DENTISTRY PLC

Practice address

2105 Academy Rd
Unit J
Powhatan, VA 23139-5829

Phone

(804) 598-8951

Fax

(804) 598-7527

NPI assigned

Apr 23, 2014

Last updated

May 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Genevieve Devera

Title

Dentist and Owner

Phone

(804) 598-8951

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1043630569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 ACADEMY RD",
            "address_2": "UNIT J",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231395829",
            "telephone_number": "804-598-8951",
            "fax_number": "804-598-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 ACADEMY RD",
            "address_2": "UNIT J",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231395829",
            "telephone_number": "804-598-8951",
            "fax_number": "804-598-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWHATAN GENTLE DENTISTRY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "DEVERA",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "DENTIST AND OWNER",
        "authorized_official_telephone_number": "804-598-8951",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Powhatan County Board of Supervisors
• Powhatan County Board of Supervisors (Powhatan Fire and Rescue Department)
• Powhatan Family Counseling and Education Center
• Powhatan Family Physicians, LTD
• Powhatan Gentle Dentistry
• Powhatan Pharmacy Inc
• Powhatan Physical Therapy Corporation
• Powhatan RX LLC (Powhatan Drug)
• Powhatan Volunteer Rescue Squad, Inc.
• Premier Wellness Consultants

• Dentist in Powhatan, VA
• Providers in Powhatan, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.