Organization Active NPI

Oath Dental LLC

  • Dental Clinic/Center
  • Salem, VA
National Provider Identifier
1396560082
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OATH DENTAL LLC
Practice address
101 S Colorado St
Salem, VA 24153-3848
Phone
(540) 387-3844
NPI assigned
Nov 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
David Hodges, DDSNPI 1841923539
Title
Owner, Dentist
Phone
(540) 387-3844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

101 S Colorado St
Salem, VA 24153-3848

Mailing address

101 S Colorado St
Salem, VA 24153-3848
Phone (540) 387-3844

National Provider Directory

National Provider Directory

Locations

101 S Colorado St
Salem, VA 24153
Phone (540) 387-3844

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1396560082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S COLORADO ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533848",
            "telephone_number": "540-387-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S COLORADO ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533848",
            "telephone_number": "540-387-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OATH DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "540-387-3844",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.