Valley Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VALLEY DENTAL CARE

Practice address

10007 Jefferson Davis Hwy Ste 125
Fredericksburg, VA 22407-9428

Phone

(540) 645-6576

NPI assigned

Nov 8, 2018

Organization subpart

No

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

Authorized official

Name

Ayman K Adeeb, DDS

Title

Dentist

Phone

(540) 645-6576

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1447728365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10007 JEFFERSON DAVIS HWY STE 125",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10007 JEFFERSON DAVIS HWY STE 125",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079428",
            "telephone_number": "540-645-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "ADEEB",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "540-645-6576",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "1467749127",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valdivia Dental LLC
• Megan Marie Valentine, BCBA, LBA
• Marisa Valero, LPC
• Charles D Valiani
• Katia Valido Munoz
• Valley Dental Care
• Kimberley C Van Alstine, CRNA
• Kelly Renee Van Assche, A.R.N.P.
• Robyn A Van Brunt, PH.D.
• Kristen Lane Vanderwijst, DPT

• Dental Clinic/Center in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.