Shenandoah Smiles PC

Primary specialty

DentistTaxonomy code 122300000X

License

0401411741 Issued in VA

Legal business name

SHENANDOAH SMILES PC

Practice address

519 W Jubal Early Dr
Suite 101
Winchester, VA 22601-6517

Phone

(540) 533-6369

NPI assigned

May 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Paige Gibson, DDS

Title

President

Phone

(540) 533-6369

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1144609702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W JUBAL EARLY DR",
            "address_2": "SUITE 101",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016517",
            "telephone_number": "540-533-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W JUBAL EARLY DR",
            "address_2": "SUITE 101",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016517",
            "telephone_number": "540-533-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH SMILES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-533-6369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shenandoah Spinecare, PLLC.
• Shenandoah University
• Shenandoah University

• Dentist in Winchester, VA
• Providers in Winchester, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.