Charles S Llewellyn III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

VA 6246 Issued in VA

Practice address

1729 Wildwood Dr Ste 104
Virginia Beach, VA 23454-3176

Phone

(757) 428-2571

Fax

(757) 422-4236

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charles S Llewellyn III DDS PC

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1962610873
  NPD (past) Authorized official
• Charles S. Llewellyn III

  dba A Division of Alantic Dental Care

  • Dentist
  • Virginia Beach, VA
  • NPI 1053657171
  Authorized official Same address or phone

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1356559223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 WILDWOOD DR STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543176",
            "telephone_number": "757-428-2571",
            "fax_number": "757-502-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 WILDWOOD DR STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543176",
            "telephone_number": "757-428-2571",
            "fax_number": "757-422-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLEWELLYN",
        "first_name": "CHARLES",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "VA 6246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Michelle Liverman
• Richard Waylon Liverman, LPC
• Living Well Counseling, LLC
• Dora Lavalle Livingston, FNP-BC
• Mukisha Livingston
• Laurel N Llobell, LPC
• Kathleen Mattu Lloyd, M.S., LPC, CSAC
• Marjorie Lloyd, DPT
• Nicole Lloyd, PT, ATC
• Lo Lumsden and Associates, PLLC

• General Practice Dentistry in Virginia Beach, VA
• Providers in Virginia Beach, 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 Feb 26, 2026; 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.