Active NPI
Premier Care Dentistry of Virgina
- Dentist
- Henrico, VA
National Provider Identifier
1619881596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- PREMIER CARE DENTISTRY OF VIRGINA
- Practice address
- 4501 S Laburnum Ave Ste 540
Henrico, VA 23231-2494 - Phone
- (804) 567-8460
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Swain
- Title
- Credentialing Operations Manager
- Phone
- (516) 344-5746
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
4501 S Laburnum Ave Ste 540
Henrico, VA 23231-2494
Mailing address
105 Maxess Rd Ste 107N
Melville, NY 11747-3859
Phone (631) 414-7927
Other practice location 1
9097 Atlee Station Rd
Mechanicsville, VA 23116-2525
Phone (804) 806-7470
Other practice location 2
43 W Williamsburg Rd
Sandston, VA 23150-2040
Phone (804) 806-7470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1619881596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MAXESS RD STE 107N",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473859",
"telephone_number": "631-414-7927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 S LABURNUM AVE STE 540",
"city": "HENRICO",
"state": "VA",
"postal_code": "232312494",
"telephone_number": "804-567-8460"
}
],
"practiceLocations": [
{
"address_1": "9097 Atlee Station Rd",
"address_purpose": "LOCATION",
"city": "Mechanicsville",
"state": "VA",
"postal_code": "231162525",
"country_code": "US",
"telephone_number": "804-806-7470",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "43 W Williamsburg Rd",
"address_purpose": "LOCATION",
"city": "Sandston",
"state": "VA",
"postal_code": "231502040",
"country_code": "US",
"telephone_number": "804-806-7470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PREMIER CARE DENTISTRY OF VIRGINA",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "SWAIN",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "CREDENTIALING OPERATIONS MANAGER",
"authorized_official_telephone_number": "516-344-5746"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.