Sedp Waynesboro, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SEDP WAYNESBORO, LLC

Doing business as

Waynesboro Blue Ridge Dental
Waynesboro Family Dentistry

Practice address

41 Stoneridge Dr
Waynesboro, VA 22980-6523

Phone

(540) 943-5211

NPI assigned

Sep 20, 2022

Last updated

Dec 13, 2022By 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

Jalonda Sweeney

Title

Director

Phone

(704) 997-8878

Specialties & licenses 1

Addresses

Other names 2

• Waynesboro Blue Ridge Dental Doing business as
• Waynesboro Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1205559929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19810 W CATAWBA AVE STE A1",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314056",
            "telephone_number": "704-997-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 STONERIDGE DR",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229806523",
            "telephone_number": "540-943-5211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Stoneridge Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "VA",
            "postal_code": "229806598",
            "country_code": "US",
            "telephone_number": "540-943-0973",
            "fax_number": "540-943-0974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEDP WAYNESBORO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "JALONDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-997-8878"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waynesboro Blue Ridge Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waynesboro Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Wayne Sauer, PHARMD
• Hallie Sayre
• Heather Higgins Schulz, M.D.
• Emily Hivick Schweickert, PA-C
• Scott M. Seaton, M.D.
• Tara M Selby, MOT, OTR/L
• Renee N Sensabaugh, LPC
• Kyra Annette Shank, CERTIFIED DOULA
• Erica J Sheaves, PT, DPT
• Shenandoah Art Therapy, LLC

• General Practice Dentistry in Waynesboro, VA
• Providers in Waynesboro, 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 Dec 13, 2022; 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.