Williamsburg Family Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

License

0401410542 Issued in VA

Legal business name

WILLIAMSBURG FAMILY DENTISTRY, PC

Practice address

213 Bulifants Blvd
Suite E
Williamsburg, VA 23188-5733

Phone

(757) 345-5500

NPI assigned

Nov 3, 2014

Organization subpart

Yes

Parent organization

ATLANTIC DENTAL CARE, PLCAs reported in NPPES

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

Authorized official

Name

Dr. Brett Dunnill, DDS

Title

Dentist

Phone

(757) 345-5500

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• a division of Atlantic Dental Care Doing business as

Tax ID family

A Division of Atlantic Dental Care2 organizations share this tax ID, including this one

Part of

Melvin E Cruser III DDS

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Rick J Rubin, D.M.D. PC

  • General Practice Dentistry
  • Williamsburg, VA
  • NPI 1447573902
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Atlantic Dental Care, PLC

  • Dentist
  • Virginia Beach, VA
  • NPI 1831434711
  NPPES parent name

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1154726115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 BULIFANTS BLVD",
            "address_2": "SUITE E",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885733",
            "telephone_number": "757-345-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 BULIFANTS BLVD",
            "address_2": "SUITE E",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885733",
            "telephone_number": "757-345-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG FAMILY DENTISTRY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, PLC",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "DUNNILL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-345-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410542",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411453",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413221",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0401411453",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0401413221",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0401410542",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "a division of Atlantic Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.