Blue Comfort Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401415827 Issued in VA

Legal business name

BLUE COMFORT DENTAL PC

Practice address

3277 S Crater Rd Ste C
Petersburg, VA 23805-9285

Phone

(804) 733-8446

NPI assigned

Mar 6, 2018

Last updated

Mar 6, 2018By 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

Thuy-Van NguyenNPI 1366825416

Title

President

Phone

(571) 338-3736

Specialties & licenses 1

Addresses

Locations

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.

• Thuy-Van Nguyen, DDS

  • Dentist
  • State College, PA
  • NPI 1366825416
  Authorized official Same address or phone
• Jilesh R Gandhi, DDS

  • Dentist
  • Petersburg, VA
  • NPI 1649652744
  NPD (past)

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1427550318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 HIGHLANDON CT",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 S CRATER RD STE C",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059285",
            "telephone_number": "804-733-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE COMFORT DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THUY-VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-338-3736"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krysten M Bishop, PA
• Anthony Jerome Blalock Jr., B.S. QMHP
• Russell Bland
• Blessed Up Transportation LLC
• Tameka Blount-Brown
• Brenna B Bohatec, FNP
• Michael Bombardier
• Bon Secours Medical Group Richmond Specialty Care LLC (Bon Secours Orthopedics - Petersburg)
• Bon Secours Mercy Health Petersburg LLC (Bon Secours - Southside Medical Center)
• Bon Secours St. Francis Medical Center, Inc. (Bon Secours Freedom Healthcare Associates)

• General Practice Dentistry in Petersburg, VA
• Providers in Petersburg, 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 Mar 6, 2018; 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.