Smiles of Virginia Family Dental Center, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILES OF VIRGINIA FAMILY DENTAL CENTER, PLLC

Practice address

633 Cedar Creek Grade
Winchester, VA 22601-2708

Phone

(540) 450-2100

NPI assigned

Feb 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Niels Oestervemb, D.D.S.NPI 1770896185

Title

Owner

Phone

(319) 936-9008

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Niels Oestervemb, DDS

  • General Practice Dentistry
  • Winchester, VA
  • NPI 1770896185
  NPD Authorized official
• Carlie M Enns, DDS

  • General Practice Dentistry
  • Winchester, VA
  • NPI 1932771425
  NPD
• Byung Yoon Kim, DDS

  • General Practice Dentistry
  • Winchester, VA
  • NPI 1295300820
  NPD
• Gregory Hamilton Traver, DDS

  • Dentist
  • Winchester, VA
  • NPI 1679267561
  NPD
• Amber Faith Deweerd, D.D.S

  • General Practice Dentistry
  • Winchester, VA
  • NPI 1538414156
  NPD (past)
• Robert D King, D.D.S.

  • General Practice Dentistry
  • Winchester, VA
  • NPI 1861489213
  NPD (past)
• Shaan Desai, DDS

  • General Practice Dentistry
  • Iowa City, IA
  • NPI 1710503859
  NPD (past)
• Timothy Mark Ruby, DDS

  • General Practice Dentistry
  • Ludington, MI
  • NPI 1124203823
  NPD (past)

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1568820702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 CEDAR CREEK GRADE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012708",
            "telephone_number": "540-450-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 CEDAR CREEK GRADE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012708",
            "telephone_number": "540-450-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF VIRGINIA FAMILY DENTAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "OESTERVEMB",
        "authorized_official_first_name": "NIELS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-936-9008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariette C Slater
• Atlantis Angel Sligh
• Gabriela Slizewska, LCGC
• Laura Slothouber
• James Roger Sluss II, MD
• Alyssa Smith
• Amanda Smith, PHARMD
• Brandi Nicole Smith
• Buck Smith, PHARMD
• Carrie Elizabeth Smith, MA CCC-SLP CERT AVT

• Dental Clinic/Center in Winchester, VA
• Providers in Winchester, 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 Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.