Organization Active NPI

Joelle Hairston DDS PLLC

  • Dental Clinic/Center
  • Williamsburg, VA
National Provider Identifier
1679215834
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOELLE HAIRSTON DDS PLLC
Practice address
107 Bulifants Blvd
Williamsburg, VA 23188-5710
Phone
(757) 941-4441
Fax
(757) 941-4448
NPI assigned
Apr 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Dr. Joelle Laquita Marie Hairston, DDS
Title
Managing Member
Phone
(912) 661-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

107 Bulifants Blvd
Williamsburg, VA 23188-5710

Mailing address

8105 Helmsdale CT
Williamsburg, VA 23188-6644
Phone (912) 661-2100

Other names 1

  • Williamsburg Smile Care Doing business as

National Provider Directory

National Provider Directory

Locations

107 Bulifants Blvd
Williamsburg, VA 23188
Phone (757) 941-4441

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1679215834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 HELMSDALE CT",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231886644",
            "telephone_number": "912-661-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BULIFANTS BLVD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885710",
            "telephone_number": "757-941-4441",
            "fax_number": "757-941-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOELLE HAIRSTON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-02",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "JOELLE",
        "authorized_official_middle_name": "LAQUITA MARIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "912-661-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsburg Smile Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.