Organization Active NPI

Atlee Family and Cosmetic Dentistry

  • General Practice Dentistry
  • Ashland, VA
National Provider Identifier
1467903104
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007232 Issued in VA
Legal business name
ATLEE FAMILY AND COSMETIC DENTISTRY
Practice address
10640 Charter Hill CT
Suite 101
Ashland, VA 23005-7749
Phone
(804) 550-1222
Fax
(804) 550-0753
NPI assigned
Oct 18, 2016
Last updated
Oct 18, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL VIRGINIA DENTAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Dr. Eliot William Bird, DDSNPI 1003801978
Title
Dentist/Owner
Phone
(804) 550-1222

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
General Practice Dentistry 1223G0001X 0401007232 VA Primary

Addresses

Primary practice location

10640 Charter Hill CT
Suite 101
Ashland, VA 23005-7749

Mailing address

10640 Charter Hill CT
Suite 101
Ashland, VA 23005-7749
Phone (804) 550-1222

National Provider Directory

National Provider Directory
Part of
DRS Rossetti Cosby Kondrossy DDS LC

Locations

10640 Charter Hill Ct
Ste 101
Ashland, VA 23005
Phone (804) 550-1222

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1467903104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 CHARTER HILL CT",
            "address_2": "SUITE 101",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057749",
            "telephone_number": "804-550-1222",
            "fax_number": "804-550-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 CHARTER HILL CT",
            "address_2": "SUITE 101",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057749",
            "telephone_number": "804-550-1222",
            "fax_number": "804-550-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLEE FAMILY AND COSMETIC DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "ELIOT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "804-550-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.