Dylan T Tagg, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

0401417406 Issued in VA

Practice address

7349 Richmond Rd
Williamsburg, VA 23188-7221

Phone

(757) 564-8942

NPI assigned

Jul 9, 2018

Last updated

Jan 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Dental Professionals of Virginia, P.C

  dba Lifetime Family Dental

  • General Practice Dentistry
  • Williamsburg, VA
  • NPI 1588842710
  NPD (past)
• Comfortable Care Dental Health Professionals, P.a.

  dba Coconut Point Dental Care

  • General Practice Dentistry
  • Estero, FL
  • NPI 1922592765
  NPD (past)

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1427544808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7349 RICHMOND RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887221",
            "telephone_number": "757-564-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7349 RICHMOND RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887221",
            "telephone_number": "757-564-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGG",
        "first_name": "DYLAN",
        "middle_name": "T",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23460",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahrukh Syed
• Lynne Szewczyk, LPC MA NCC
• Samuel Anthony John Tabacchi, DO
• Joselin D Tacastacas, MD
• Stacey Harris Tadlock, FNP-BC
• Felicia Tai
• Katherine Rae Tajirian, PT, DPT
• Kelly G Tanner, RDH
• Lauren R Tatro
• Victoria Taylor-Bowman, COTA

• Dentist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.