Individual provider Active NPI

Bruce R Deginder, D.D,S,

  • General Practice Dentistry
  • Williamsburg, VA
National Provider Identifier
1770577124
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007087 Issued in VA
Practice address
240 McLaws Cir
Suite #153
Williamsburg, VA 23185-5678
Phone
(757) 220-9492
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401007087 VA Primary

Addresses

Primary practice location

240 McLaws Cir
Suite #153
Williamsburg, VA 23185-5678

Mailing address

240 McLaws Cir
Suite #153
Williamsburg, VA 23185-5678
Phone (757) 220-9492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150629002994 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9931411253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amador Family Dentistry PLLC General Practice PastSince Oct 1, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770577124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MCLAWS CIR",
            "address_2": "SUITE #153",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855678",
            "telephone_number": "757-220-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MCLAWS CIR",
            "address_2": "SUITE #153",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855678",
            "telephone_number": "757-220-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGINDER",
        "first_name": "BRUCE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D,S,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.