S&L Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

S&L DENTAL GROUP

Doing business as

Dahlgren Dental

Practice address

5212 Kings Wood LN
King George, VA 22485-5612

Phone

(617) 678-2875

NPI assigned

Jul 17, 2017

Last updated

Jul 17, 2017By 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

Dr. Grace E La, DMD

Title

Dentist

Phone

(617) 678-2875

Specialties & licenses 1

Addresses

Other names 1

• Dahlgren Dental Doing business as

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500249600000",
    "number": "1538682034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5659 FAIRCLOTH CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201992",
            "telephone_number": "617-678-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 KINGS WOOD LN",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224855612",
            "telephone_number": "617-678-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&L DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A",
        "authorized_official_last_name": "LA",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-678-2875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dahlgren Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Anne Rodgers
• Gustavo Rodriguez
• Sarah Rose, BCBA
• Ross Ann Bumbrey/Faithful Angels, LLC
• Ann-Marie Russell, APN
• Ngoentra Schaum, PHARMD
• Cassandra Annette Schein, LMT
• Hanna Schickel, PHARMD
• Emma Gabrielle Sellors
• Sentara Medical Group (Sentara Pratt Medical Group)

• General Practice Dentistry in King George, VA
• Providers in King George, 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 Jul 17, 2017; 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.