Wayesboro Blue Ridge Dental PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WAYESBORO BLUE RIDGE DENTAL PLC

Doing business as

Waynesboro Family Dentistry

Practice address

41 Stoneridge Dr
Waynesboro, VA 22980-6523

Phone

(540) 943-5202

NPI assigned

Mar 22, 2024

Last updated

Apr 9, 2026By 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

Jessica Hunter

Title

Director of Network Relations

Phone

(704) 780-4597

Specialties & licenses 1

Addresses

Other names 1

• Waynesboro Family Dentistry Doing business as

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1447010616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19810 W CATAWBA AVE # A1",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 STONERIDGE DR",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229806523",
            "telephone_number": "540-943-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYESBORO BLUE RIDGE DENTAL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR OF NETWORK RELATIONS",
        "authorized_official_telephone_number": "704-780-4597"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waynesboro Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Waynesboro, VA
• Providers in Waynesboro, 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 Apr 9, 2026; 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.