Community Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401008855 Issued in VA

Legal business name

COMMUNITY DENTAL INC

Practice address

10246 Kings Hwy
King George, VA 22485-3429

Phone

(540) 498-3190

NPI assigned

Dec 4, 2009

Last updated

Dec 4, 2009By 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

Richard Cottrell, DDS

Title

President

Phone

(540) 498-3190

Specialties & licenses 3

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gaurav Agarwal, DDS MSD

  • Pediatric Dentistry
  • Winchester, VA
  • NPI 1972645380
  NPD (past)
• George S Cheng, DDS

  • General Practice Dentistry
  • Fredericksburg, VA
  • NPI 1669555249
  NPD (past)

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1609104520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10246 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224853429",
            "telephone_number": "540-498-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10246 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224853429",
            "telephone_number": "540-498-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "COTTRELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-498-3190",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008855",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411484",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laureana Clift
• Precious Coleman
• Ava Liadan Combs
• Carrie Morton Combs, MSN, APRN FNP-C
• Commonwealth of Virginia State Board of Health (King George Health Department)
• Convenience Urgent Care
• Michael Joseph Costa, M.D.
• Richard W Cottrell, D D S P C
• Sharon Cross, LCSW
• Jennifer Ellen Crossman, LDO

• 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 Dec 4, 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.