Treasured Smiles Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401412920 Issued in VA

Legal business name

TREASURED SMILES PEDIATRIC DENTISTRY

Practice address

1509 Dodona Ter Ste 105a
Leesburg, VA 20175-4709

Phone

(571) 293-0244

NPI assigned

Oct 9, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Christine Hickerson

Title

Office Manager

Phone

(571) 293-0244

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carola De la Cruz, DDS

  • Pediatric Dentistry
  • Leesburg, VA
  • NPI 1902057979
  NPD (past)

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1225465131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 DODONA TERRACE SUITE 105A",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "25405",
            "telephone_number": "571-293-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 DODONA TER STE 105A",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754709",
            "telephone_number": "571-293-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURED SMILES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "HICKERSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "571-293-0244",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401412920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ngoc Bich Tran, MD
• Stacy Tran
• Pia Trang, O.D.
• Ama Waffa Traore, LPC
• Rochelle Traupe, LMT
• Kristi Trexler, RDH
• Trisia Jarvis OD PLLC
• Triumph Medical Advancments
• Purvi Ankitkumar Trivedi
• Heather Kathryn Troxell

• Pediatric Dentistry in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.