NPIMap

Organization Active NPI

Williamsburg Center for Dental Health

  • Dentist
  • Williamsburg, VA
National Provider Identifier
1053856468
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401410628 Issued in VA
Legal business name
WILLIAMSBURG CENTER FOR DENTAL HEALTH
Practice address
5231 Monticello Ave
Suite E
Williamsburg, VA 23188-8300
Phone
(757) 565-6303
NPI assigned
Dec 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Dr. Stacey Hall, DDSNPI 1760692099
Title
Dentist
Phone
(757) 565-6303

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401410628 VA Primary

Addresses

Primary practice location

5231 Monticello Ave
Suite E
Williamsburg, VA 23188-8300

Mailing address

5231 Monticello Ave
Suite E
Williamsburg, VA 23188-8300
Phone (757) 565-6303

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1053856468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 MONTICELLO AVE",
            "address_2": "SUITE E",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888300",
            "telephone_number": "757-565-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 MONTICELLO AVE",
            "address_2": "SUITE E",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888300",
            "telephone_number": "757-565-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG CENTER FOR DENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-565-6303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.