610 Dental, P.C. – General Practice Dentistry

Key facts

NPI: 1497052237
Entity type: Organization (NPI type 2)
Primary specialty: General Practice Dentistry 1223G0001X
License: 0401006823 (VA)
Legal business name: 610 DENTAL, P.C.
Practice address: 315 Garrisonville Rd
Suite 105B
Stafford, VA 22554-1542
Phone: (540) 288-9212
NPI assigned: Feb 14, 2011
Organization subpart: No

Authorized official

Name: Dr. Ethel M Miles, DDS
Title: President
Phone: (540) 288-9212

National Provider Directory

Locations

315 Garrisonville Rd
Ste 105B
Stafford, VA 22554
Phone (540) 288-9212

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry Group: 193400000X SINGLE SPECIALTY GROUP	1223G0001X	0401006823	VA	Yes

Addresses

Primary practice location

315 Garrisonville Rd
Suite 105B
Stafford, VA 22554-1542

Mailing address

315 Garrisonville Rd
Suite 105B
Stafford, VA 22554-1542
Phone (540) 288-9212

Other names

Comfort Dental Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 14, 2011.

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1497052237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 GARRISONVILLE RD",
            "address_2": "SUITE 105B",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541542",
            "telephone_number": "540-288-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 GARRISONVILLE RD",
            "address_2": "SUITE 105B",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541542",
            "telephone_number": "540-288-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "610 DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-288-9212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, VA

All providers in Stafford, VA · General Practice Dentistry in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.