Old Dominion Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OLD DOMINION FAMILY DENTAL

Practice address

3290 Church Rd
Henrico, VA 23233-1812

Phone

(804) 270-3080

Fax

(804) 967-0144

NPI assigned

Oct 8, 2020

Last updated

Oct 8, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRAL VIRGINIA DENTAL CARE PLCAs reported in NPPES

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

Authorized official

Name

John A Freeman, DMDNPI 1144872920

Title

Dentist/Owner

Phone

(804) 270-3080

Specialties & licenses 1

Addresses

Electronic endpoints 1

Part of

DRS Rossetti Cosby Kondrossy DDS LC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Central Virginia Dental Care PLC

  • General Practice Dentistry
  • South Chesterfield, VA
  • NPI 1063960649
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Andrew Freeman, DMD

  • General Practice Dentistry
  • Henrico, VA
  • NPI 1144872920
  NPD Authorized official
• Andrew David Zima Jr., DDS

  • Pediatric Dentistry
  • Farmville, VA
  • NPI 1558511063

  General Practice

  NPD

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1386241792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 CHURCH RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331812",
            "telephone_number": "804-270-3080",
            "fax_number": "804-967-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 CHURCH RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331812",
            "telephone_number": "804-270-3080",
            "fax_number": "804-967-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD DOMINION FAMILY DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE PLC",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "804-270-3080",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "FRONTDESK@RICHMONDDENTALGROUP.COM",
            "affiliation": "N",
            "address_1": "3290 Church Rd",
            "city": "Henrico",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232331812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Oasis Living Assisted Living, LLC
• OB Hospitalist Inc
• Jaeau Sabio Obcemea
• Erin Odonnell
• Tope Josephine Oladimeji, DNP, PMHNP-BC
• Ijeoma Gladys Olewe, RN, PMHNP-BC
• George A Oley IV, DDS
• Deayra Oliver
• Robert Leo Olson
• Diyar Omer, MD, MPH

• General Practice Dentistry in Henrico, VA
• Providers in Henrico, 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 Oct 8, 2020; 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.