Organization Active NPI

Dunham DDS of Dinwiddie, PC

  • Dental Clinic/Center
  • North Dinwiddie, VA
National Provider Identifier
1598424301
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DUNHAM DDS OF DINWIDDIE, PC
Practice address
6204 Duncan Rd
North Dinwiddie, VA 23803-7442
Phone
(804) 748-5105
Fax
(804) 748-5105
NPI assigned
Dec 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Benjamin Dunham, DDSNPI 1417361510
Title
Owner
Phone
(804) 840-1331

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6204 Duncan Rd
North Dinwiddie, VA 23803-7442

Mailing address

11701 Chester Rd
Chester, VA 23831-1710
Phone (804) 748-5105

Other names 1

  • Dinwiddie Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL managercrfd@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1598424301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 CHESTER RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311710",
            "telephone_number": "804-748-5105",
            "fax_number": "804-748-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6204 DUNCAN RD",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238037442",
            "telephone_number": "804-748-5105",
            "fax_number": "804-748-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNHAM DDS OF DINWIDDIE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-840-1331",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "managercrfd@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6204 Duncan Rd",
            "city": "North Dinwiddie",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238037442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dinwiddie Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Dinwiddie, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.