Piedmont Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401411484 Issued in VA

Legal business name

PIEDMONT DENTAL

Practice address

5205 Courthouse Rd
Suite 201
Spotsylvania, VA 22551-6390

Phone

(540) 895-7330

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. David Michael Clark, DDSNPI 1710060322

Title

President/Owner

Phone

(540) 895-7330

Specialties & licenses 1

Addresses

Other names 1

• Piedmont Dental at Lake Anna Doing business as

Locations

Practitioners 1

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

• David Michael Clark, DDS

  • General Practice Dentistry
  • Spotsylvania, VA
  • NPI 1710060322
  NPD Authorized official

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1063811503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 COURTHOUSE RD",
            "address_2": "SUITE 201",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225516390",
            "telephone_number": "540-895-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 COURTHOUSE RD",
            "address_2": "SUITE 201",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225516390",
            "telephone_number": "540-895-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "540-895-7330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401411484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Dental at Lake Anna",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick E. Caiafa PC
• Leah Paul, CPM LM
• April Payne
• Pegasus Medical Transport, LLC
• Jerod Pettus
• PJM Enterprises Inc
• PL Physicians, Inc.
• Precision Pediatric Operations
• Callie Price, LCSW
• Primecare Family Care, Inc.

• Dental Clinic/Center in Spotsylvania, VA
• Providers in Spotsylvania, VA by specialty
• Dental Clinic/Center in Virginia

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