Fredericksburg Dentist and Implant Center, Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FREDERICKSBURG DENTIST AND IMPLANT CENTER, INC.

Practice address

12104 Sheraton Hills Dr
Fredericksburg, VA 22407-6748

Phone

(540) 548-2605

NPI assigned

Sep 30, 2024

Organization subpart

No

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

Authorized official

Name

Basiony Hagar, DDSNPI 1518123967

Title

Owner

Phone

(540) 548-2605

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Basiony Taher Hagar

  • Dentist
  • Washington, VA
  • NPI 1518123967
  NPD Authorized official
• Shaghayegh Sobhani

  • Periodontics
  • Fredericksburg, VA
  • NPI 1235841479
  NPD
• James Marion Culberson, D.M.D., M.S.

  • Periodontics
  • Fredericksburg, VA
  • NPI 1215085568
  NPD (past)

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1649098500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12104 SHERATON HILLS DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076748",
            "telephone_number": "540-548-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12104 SHERATON HILLS DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076748",
            "telephone_number": "540-548-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICKSBURG DENTIST AND IMPLANT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "HAGAR",
        "authorized_official_first_name": "BASIONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-548-2605",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredericksburg Christian Health Center
• Fredericksburg City Pharmacy Inc
• Fredericksburg Dental Care
• Fredericksburg Dental Center
• Fredericksburg Dental Professionals,PLLC
• Fredericksburg Dermatologic Associates PC
• Fredericksburg DME
• Fredericksburg Emergency Medical Alliance, Inc.
• Fredericksburg Endodontics PLLC
• Fredericksburg Endoscopy Center, LLC

• Dentist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.