NPIMap

Organization Active NPI

Williamsburg Family Dentistry, PC

Doing business as a division of Atlantic Dental Care

  • Dentist
  • Williamsburg, VA
National Provider Identifier
1154726115
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401410542 Issued in VA
Legal business name
WILLIAMSBURG FAMILY DENTISTRY, PC
Doing business as
a division of Atlantic Dental Care
Practice address
213 Bulifants Blvd
Suite E
Williamsburg, VA 23188-5733
Phone
(757) 345-5500
NPI assigned
Nov 3, 2014
Last updated
Nov 3, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Dr. Brett Dunnill, DDSNPI 1538229083
Title
Dentist
Phone
(757) 345-5500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401410542 VA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401411453 VA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401413221 VA

Addresses

Primary practice location

213 Bulifants Blvd
Suite E
Williamsburg, VA 23188-5733

Mailing address

213 Bulifants Blvd
Suite E
Williamsburg, VA 23188-5733
Phone (757) 345-5500

Other names 1

  • a division of Atlantic Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Division of Atlantic Dental Care2 organizations share this tax ID, including this one
Part of
Tracy S Oliver DDS PC

Other organizations with this tax ID 1

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

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "a division of Atlantic Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • 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.