Awesome Kids Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411583 Issued in VA

Legal business name

AWESOME KIDS DENTAL PLLC

Practice address

6468 Trading SQ
Haymarket, VA 20169-2277

Phone

(571) 261-2600

Fax

(571) 261-2699

NPI assigned

Oct 31, 2016

Last updated

Oct 31, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tontra Lowe, DDSNPI 1215035258

Title

Manager/Dentist

Phone

(571) 261-2600

Specialties & licenses 1

Addresses

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.

• Tontra P Lowe, DDS

  • General Practice Dentistry
  • Haymarket, VA
  • NPI 1215035258
  Authorized official Same address or phone

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1194277715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6468 TRADING SQ",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692277",
            "telephone_number": "571-261-2600",
            "fax_number": "571-261-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6468 TRADING SQ",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692277",
            "telephone_number": "571-261-2600",
            "fax_number": "571-261-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWESOME KIDS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "TONTRA",
        "authorized_official_title_or_position": "MANAGER/DENTIST",
        "authorized_official_telephone_number": "571-261-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Haymarket, VA
• Providers in Haymarket, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.