Long Ridge Dentistry, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LONG RIDGE DENTISTRY, PC

Practice address

2780 Stuarts Draft Hwy Ste 102
Stuarts Draft, VA 24477-2779

Phone

(540) 337-2400

Fax

(540) 337-4090

NPI assigned

Aug 10, 2020

Last updated

Aug 10, 2020By 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

Hannah Mabe, DDSNPI 1144714700

Title

President

Phone

(434) 249-8606

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Hannah Rose Mabe, DDS

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1144714700
  NPD Authorized official
• James F Hutchens, DDS

  • General Practice Dentistry
  • Stuarts Draft, VA
  • NPI 1770697245
  NPD (past)

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1083225429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 WINDIGROVE DR APT 326",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229807500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 STUARTS DRAFT HWY STE 102",
            "city": "STUARTS DRAFT",
            "state": "VA",
            "postal_code": "244772779",
            "telephone_number": "540-337-2400",
            "fax_number": "540-337-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG RIDGE DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "MABE",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-249-8606",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144714700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne E Klein, MS, CRC, RIC
• Betty Jean Lawhorne
• Morgan Botkin Layman, MD
• Sarah Evonne Layman
• Sera Lee, PHARM.D.
• Tiffany McAllister
• Dana Leigh McClanahan, FNP
• Jessica McFadden, M.A., CCC-SLP
• Jennifer Mentore, NP
• Martha Simms Mikell, MSED, ATC, CSCS

• Dental Clinic/Center in Stuarts Draft, VA
• Providers in Stuarts Draft, 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 10, 2020; 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.