Marwa Issa
Individual provider Active NPI General Practice Dentistry · Madison Heights, VA
NPI 1689450249 · NPPES record last updated May 21, 2025
Key facts
- NPI
- 1689450249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0401418633 (VA)
- Practice address
- 109 Clearview Rd
Madison Heights, VA 24572-2600 - Phone
- (434) 929-1400
- NPI assigned
- Sep 7, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| I20250113002822 | VA | Practitioner - Dentist | 5193253573 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401418633 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Health Center | Current |
Accepting new patients | |
| Johnson Health Center | Current | Accepting new patients | |
| Dental Professionals of Virginia, P.C. | General Practice | Current |
Accepting new patients |
Locations
320 Federal St
Lynchburg, VA 24504
Phone (434) 947-5967
109 Clearview Rd
Madison Heights, VA 24572
Phone (434) 929-1400
134 Elon Rd
Madison Hts, VA 24572
Phone (434) 929-1400
615 E Jubal Early Dr
Winchester, VA 22601
Phone (540) 360-1100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401418633 | VA | |
| General Practice Dentistry | 1223G0001X | 0401418633 | VA | Yes |
Addresses
Primary practice location
109 Clearview Rd
Madison Heights, VA 24572-2600
Mailing address
200 W Edge Way Apt 3109
Lynchburg, VA 24502-5858
Phone (929) 353-4547
Other practice location 1
615 E Jubal Early Dr
Winchester, VA 22601-5178
Phone (540) 360-1100
Other providers in Madison Heights, VA
- Independant Life Styles
- Indian Health Service Monacan Service Unit Monacan Health Center
- Indian Health Service Monacan Service Unit Monacan Health Center
- Indian Health Service Richmond Service Unit
- Indian Health Service Richmond Service Unit
- Johnson Health Center
- Johnson Health Center
- Johnson Health Center
- J'NA Johnson
- Sandra Jones
All providers in Madison Heights, 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 May 21, 2025. 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.