Ideal Dental Care , Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

0401412655 Issued in VA

Legal business name

IDEAL DENTAL CARE , INC

Practice address

8111 Midlothian Tpke
North Chesterfield, VA 23235-5115

Phone

(804) 918-9667

Fax

(804) 918-9652

NPI assigned

Mar 16, 2016

Organization subpart

No

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

Authorized official

Name

Omar Abuhajleh, DDS

Title

Dentist

Phone

(781) 254-2626

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.

• Abdallah Abdelkarim Saleh Al-Oweidi, DDS

  • Dentist
  • Henrico, VA
  • NPI 1841809969
  NPD (past)
• Bright NA Sefah, DDS

  • General Practice Dentistry
  • North Chesterfield, VA
  • NPI 1053088831
  NPD (past)
• Mariyam Shah, DDS

  • Dentist
  • North Chesterfield, VA
  • NPI 1639788334
  NPD (past)

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1780045849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 MIDLOTHIAN TPKE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355115",
            "telephone_number": "804-918-9667",
            "fax_number": "804-918-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 MIDLOTHIAN TPKE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355115",
            "telephone_number": "804-918-9667",
            "fax_number": "804-918-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL DENTAL CARE , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "ABUHAJLEH",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-254-2626",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0401412655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Preston Hyde, MD
• John W. Hyslop, M.D.
• I Care VA, LLC
• Anna Vladimirovna Ickes, LPC
• Elizabeth Iddings
• Ideal Family Dentistry LLC
• Innocent Onyebuchi Idemili
• Rose Ifeyinwa Idemili
• Rachel Igou
• Impact Adult Services, LLC

• Preferred Provider Organization in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Preferred Provider Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.