Bruce W. Overton DDS PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

BRUCE W. OVERTON DDS PC

Practice address

6037 Harbour Park Dr
Midlothian, VA 23112-2160

Phone

(804) 744-3636

Fax

(804) 744-6365

NPI assigned

Jul 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Wayne Overton, DDSNPI 1992865604

Title

President/Owner

Phone

(804) 744-3636

Specialties & licenses 1

Addresses

Other names 1

• Dominion Endodontics Doing business as

Locations

Practitioners 2

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

• Bruce Wayne Overton, DDS

  • Endodontics
  • Midlothian, VA
  • NPI 1992865604
  NPD (past) Authorized official
• Gardiner McKay Packer, D.D.S.

  • Endodontics
  • Midlothian, VA
  • NPI 1720272768
  NPD (past)

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1609006865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6037 HARBOUR PARK DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122160",
            "telephone_number": "804-744-3636",
            "fax_number": "804-744-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6037 HARBOUR PARK DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122160",
            "telephone_number": "804-744-3636",
            "fax_number": "804-744-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE W. OVERTON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "OVERTON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "804-744-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dominion Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marie Harris Brown, EDD
• Rebekah A Brown, BCABA, LABA
• Samuel Matthew Brown
• Sherry Bernita Brown, M.D.
• Ashley White Broyles, FNP-BC
• Katherine E Brus, DC
• Madeline M. Bryan, CCC/SLP
• Kathy Bryant, CPNP, FNP-BC
• Brydig, LLC
• Hannah Eve Buchanan, MA BCBA LBA

• Endodontics in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.