Organization Active NPI

United Smiles Glen Allen PC

  • Dentist
  • Glen Allen, VA
National Provider Identifier
1114529252
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
UNITED SMILES GLEN ALLEN PC
Practice address
5332 Wyndham Forest Dr
Glen Allen, VA 23059-5941
Phone
(804) 504-0012
NPI assigned
Nov 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
George Plathottam Varkey, DMDNPI 1295846269
Title
Owner
Phone
(804) 874-2333

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 Primary

Addresses

Primary practice location

5332 Wyndham Forest Dr
Glen Allen, VA 23059-5941

Mailing address

723 Southpark Blvd Ste F
Colonial Heights, VA 23834-3628
Phone (804) 504-0012

Other practice location 1

723 Southpark Blvd Ste F
Colonial Heights, VA 23834-3628
Phone (804) 504-0012

Other names 1

  • United Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

723 Southpark Blvd
Ste F
Colonial Heights, VA 23834
Phone (804) 270-9989

5332 Wyndham Forest Dr
Glen Allen, VA 23059
Phone (804) 504-0012

Practitioners & affiliated clinicians

Practitioners 1

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": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1114529252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 SOUTHPARK BLVD STE F",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343628",
            "telephone_number": "804-504-0012",
            "fax_number": "804-490-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5332 WYNDHAM FOREST DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595941",
            "telephone_number": "804-504-0012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "723 Southpark Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238343628",
            "country_code": "US",
            "telephone_number": "804-504-0012",
            "fax_number": "804-490-0174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNITED SMILES GLEN ALLEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2021-01-12",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "VARKEY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "PLATHOTTAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-874-2333",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "United Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.