Active NPI
Simon Gerard Petrizzi, DDS
- General Practice Dentistry
- Powhatan, VA
National Provider Identifier
1134057144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401420022
- Practice address
- 3250 Anderson Hwy
Powhatan, VA 23139-7307 - Phone
- (804) 531-3550
- NPI assigned
- May 11, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401420022 | VA | Primary |
Addresses
Primary practice location
3250 Anderson Hwy
Powhatan, VA 23139-7307
Mailing address
3250 Anderson Hwy
Powhatan, VA 23139-7307
Phone (804) 803-1883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401420022 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1134057144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 ANDERSON HWY",
"city": "POWHATAN",
"state": "VA",
"postal_code": "231397307",
"telephone_number": "804-803-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 ANDERSON HWY",
"city": "POWHATAN",
"state": "VA",
"postal_code": "231397307",
"telephone_number": "804-531-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRIZZI",
"first_name": "SIMON",
"middle_name": "GERARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-11",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401420022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Powhatan, VA
- Michelle Pauciullo, PA-C
- Patrick Peach, ATC
- Pediatric Partners of Virginia (Flat Rock Pediatrics)
- Richard Pelletier, RPH
- Peter Matkowsky DDS Inc.
- Charles Pfeiffer, N. P.
- Pike Mobility Services LLC
- Powhatan County Board of Supervisors
- Powhatan County Board of Supervisors (Powhatan Fire and Rescue Department)
- Powhatan Family Counseling and Education Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.