Oscar G. Vega, DDS
Individual provider Active NPI General Practice Dentistry · Madison, VA
NPI 1629368170 · NPPES record last updated Nov 11, 2015
Key facts
- NPI
- 1629368170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0401413659 (VA)
- Practice address
- 306 S Main St
Madison, VA 22727-3026 - Phone
- (540) 948-4488
- Fax
- (540) 948-4662
- NPI assigned
- Apr 17, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151110000040 | VA | Practitioner - Dentist |
2567772262 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current |
Accepting new patients | |
| Madison Family Dentistry, PLLC | Past | Accepting new patients | |
| David M Deviese DDS PC | General Practice | Past | Accepting new patients |
Locations
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401413659 | VA | Yes |
Addresses
Primary practice location
306 S Main St
Madison, VA 22727-3026
Mailing address
PO Box 304
Madison, VA 22727-0304
Phone (540) 948-4488
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All providers in Madison, VA · General Practice Dentistry in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.