Radiance Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RADIANCE DENTAL PLLC

Practice address

13841 Hull Street Rd # Site5
Midlothian, VA 23112-2056

Phone

(804) 739-6818

NPI assigned

Jun 30, 2021

Organization subpart

No

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

Authorized official

Name

Ashley Gentry

Title

Office Manager

Phone

(804) 739-6818

Specialties & licenses 1

Addresses

Other names 1

• Radiance Dental PLLC Doing business as

Locations

Practitioners 1

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

• Muhammad Adnan Khan, DDS

  • Dentist
  • Midlothian, VA
  • NPI 1740619089
  NPD

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1245800291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13841 HULL STREET RD # SITE5",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122056",
            "telephone_number": "804-739-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13841 HULL STREET RD # SITE5",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122056",
            "telephone_number": "804-739-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "804-739-6818"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiance Dental PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• R. Adrian Sorenson DDS and William R. Monacell DDS
• Beth Melissa Rabbin, M.S. SLP
• Rachael Scholl Psychotherapy, LLC
• Harry Raddin Jr., D.D.S.,M.S.D.
• Ryan S Raddin, MD
• Faria Rahman
• Fazalur Rahman
• Kavan Rai
• Hartwell Thomas Rainey V, PA-C
• Kelli Gullen Thomas Rainey, CPNP-PC

• Dental Clinic/Center in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.