Amelia Family Dentistry Dre PLL

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AMELIA FAMILY DENTISTRY DRE PLL

Practice address

10160 Superior Way
Amelia Court House, VA 23002-4744

Phone

(804) 561-4379

NPI assigned

Oct 30, 2024

Organization subpart

No

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

Authorized official

Name

Elizabeth Davis

Title

Director of Revenue

Phone

(859) 533-1109

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1497577464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SPRUCE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405072109",
            "telephone_number": "804-561-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10160 SUPERIOR WAY",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230024744",
            "telephone_number": "804-561-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA FAMILY DENTISTRY DRE PLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE",
        "authorized_official_telephone_number": "859-533-1109"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Ambulance Service Inc
• Amelia County Public Schools
• Amelia Operating Realty, LLC (Wellsprings at Amelia)
• Amelia Pharmacy Inc
• Amelia Pharmacy Inc (Family Pharmacy Amelia Long Term Care)
• Amelia Physical Therapy Inc
• Amelia, LLC (Amelia Nursing and Rehabilitation Center)

• Dentist in Amelia Court House, VA
• Providers in Amelia Court House, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.