Virginia Beach Dental Spa, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VIRGINIA BEACH DENTAL SPA, PLLC

Practice address

9305 Quioccasin Rd Ste a
Richmond, VA 23229-5429

Phone

(804) 251-1233

Fax

(804) 750-1880

NPI assigned

Jan 16, 2019

Last updated

Jan 16, 2019By 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

Firas Albadran

Title

Owner

Phone

(617) 505-7082

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1386118990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 QUIOCCASIN RD STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295429",
            "telephone_number": "804-251-1233",
            "fax_number": "804-750-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 QUIOCCASIN RD STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295429",
            "telephone_number": "804-251-1233",
            "fax_number": "804-750-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA BEACH DENTAL SPA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "ALBADRAN",
        "authorized_official_first_name": "FIRAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-505-7082"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000012970362",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Virginia Adult & Pediatric Allergy & Asthma PC
• Virginia Anesthesia Services LLC
• Virginia Calyx Professional Services, , LLC
• Virginia Cancer Insitute West End
• Virginia Cancer Institute Incorporated
• Virginia Cancer Institute Incorporated
• Virginia Cancer Institute Incorporated (Progressive Pharmacy Care)

• Dental Clinic/Center in Richmond, VA
• Providers in Richmond, 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 Jan 16, 2019; 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.