Virginia Kids Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VIRGINIA KIDS DENTAL, PLLC

Doing business as

Triad Kids Dental - Danville

Practice address

364 Lowes Dr Ste J
Danville, VA 24540-5930

Phone

(434) 554-4928

Fax

(434) 424-5096

NPI assigned

Aug 21, 2024

Organization subpart

No

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

Authorized official

Name

Teresa Zwicky

Title

Cred MGR

Phone

(480) 866-8811

Specialties & licenses 1

Addresses

Other names 1

• Triad Kids Dental - Danville Doing business as

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1265265680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 LOWES DR STE J",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245405930",
            "telephone_number": "434-554-4928",
            "fax_number": "434-424-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 LOWES DR STE J",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245405930",
            "telephone_number": "434-554-4928",
            "fax_number": "434-424-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA KIDS DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "ZWICKY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CRED MGR",
        "authorized_official_telephone_number": "480-866-8811"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triad Kids Dental - Danville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Danville, VA
• Providers in Danville, 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 23, 2024; 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.