Organization Active NPI

D and G DMD PLLC

Doing business as Smiles for Life

  • Dental Clinic/Center
  • Bridgewater, VA
National Provider Identifier
1780566539
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
D AND G DMD PLLC
Doing business as
Smiles for Life
Practice address
115 Oakwood Dr
Bridgewater, VA 22812-9544
Phone
(540) 828-2312
Fax
(540) 828-2857
NPI assigned
Jul 23, 2025
Last updated
Jul 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Daniel Whiting
Title
Dentist/Owner
Phone
(540) 560-5722

Specialties & licenses 1

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

Addresses

Primary practice location

115 Oakwood Dr
Bridgewater, VA 22812-9544

Mailing address

115 Oakwood Dr
Bridgewater, VA 22812-9544
Phone (540) 828-2312

Other identifiers 2

IdentifierTypeStateIssuer
1215585302OtherVADR. GEOVANNY BALDERAS INDIVIDUAL NPI
1992933667OtherVADR. DANIEL WHITING INDIVIDUAL NPI

Other names 1

  • Smiles for Life Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1780566539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 OAKWOOD DR",
            "city": "BRIDGEWATER",
            "state": "VA",
            "postal_code": "228129544",
            "telephone_number": "540-828-2312",
            "fax_number": "540-828-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 OAKWOOD DR",
            "city": "BRIDGEWATER",
            "state": "VA",
            "postal_code": "228129544",
            "telephone_number": "540-828-2312",
            "fax_number": "540-828-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D AND G DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "WHITING",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "540-560-5722"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. GEOVANNY BALDERAS INDIVIDUAL NPI",
            "identifier": "1215585302",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. DANIEL WHITING INDIVIDUAL NPI",
            "identifier": "1992933667",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles for Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgewater, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.