GD VA Gal PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GD VA GAL PLLC

Doing business as

Andre Dental

Practice address

208B Elm Ave
Louisa, VA 23093-6578

Phone

(540) 967-0777

NPI assigned

Mar 17, 2023

Last updated

Mar 17, 2023By 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

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• Andre Dental 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, and the practitioner matching its NPPES authorized official.

• John Andre

  • Dentist
  • Louisa, VA
  • NPI 1003834607
  NPD (past)

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1073215836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208B ELM AVE",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "230936578",
            "telephone_number": "540-967-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208B ELM AVE",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "230936578",
            "telephone_number": "540-967-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10863 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230603312",
            "country_code": "US",
            "telephone_number": "804-346-8330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GD VA GAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andre Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrie B Ferrel, FNP
• Hester Cline Fletcher, RN
• David Foster, LICENSE OPTICIAN
• Tammy Freeman, PT
• Patti Lynn Freimuth, D.T
• Matthew Peter Green, M.D.
• Annjeanette Dawn Griffith, HIS 2101002759
• Edward Rex Harkrader Sr., MD
• Angela Harris
• Healthcare Support Services Inc. (Louisa Home Care)

• General Practice Dentistry in Louisa, VA
• Providers in Louisa, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.