Pro Dental VA 1, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PRO DENTAL VA 1, P.C.

Practice address

6084 Sam Snead Hwy
Hot Springs, VA 24445-2664

Phone

(540) 684-3765

NPI assigned

May 3, 2024

Last updated

May 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Rubinson

Title

Controller

Phone

(732) 616-0292

Specialties & licenses 1

Addresses

Other names 1

• Prosmile Other name

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1740037019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WOODBRIDGE CENTER DR STE 520",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951152",
            "telephone_number": "732-616-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6084 SAM SNEAD HWY",
            "city": "HOT SPRINGS",
            "state": "VA",
            "postal_code": "244452664",
            "telephone_number": "540-684-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO DENTAL VA 1, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "RUBINSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "732-616-0292"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosmile",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hot Springs Volunteer Fire and Rescue Association
• Integrated Behavior Services, LLC
• Jeffrey Stephen McCray, D.O.
• Michaela Kern McDaniel, DNP, FNP-C
• Pari B. Baker LCSW LLC
• Sommer Gale Quantz
• RBM Opco of Hot Springs LLC (The Springs Nursing and Rehab Center)
• Kimberly Lynne Rexrode, FNP-C
• Amanda Mae Rizk, CRNA
• Levi Rizk, DO

• Dental Clinic/Center in Hot Springs, VA
• Providers in Hot Springs, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.