Commonwealth Dental Clinic Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401410880 Issued in VA

Legal business name

COMMONWEALTH DENTAL CLINIC INC

Doing business as

Commonwealth Dental Clinic

Practice address

1121 S Jefferson St
Roanoke, VA 24016-4703

Phone

(540) 685-0028

NPI assigned

Dec 13, 2013

Organization subpart

No

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

Authorized official

Name

Kim Davis

Title

RCM Director

Phone

(703) 568-5773

Specialties & licenses 1

Addresses

Other names 1

• Commonwealth Dental Clinic Doing business as

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1144641309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 S JEFFERSON ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164703",
            "telephone_number": "540-685-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 S JEFFERSON ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164703",
            "telephone_number": "540-685-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH DENTAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "RCM DIRECTOR",
        "authorized_official_telephone_number": "703-568-5773"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401410880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Joseph Collins, M.D.
• Lily Colpitts, MD
• Carter Colwell
• Christi Denise Combs, LPC
• Davin Thomas Combs
• Commonwealth of Virginia State Board of Health
• Commonwealth of Virginia State Board of Health
• Community Artsreach
• Companion Home Care, Inc.
• Compassionate Solutions Inc

• Dental Clinic/Center in Roanoke, VA
• Providers in Roanoke, 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 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.

Verify at the official NPI Registry.