Dentaquest Virginia, Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAQUEST VIRGINIA, INC.

Practice address

4061 Powder Mill Rd
Suite 325
Calverton, MD 20705-3149

Phone

(617) 886-1818

NPI assigned

Mar 19, 2013

Last updated

Mar 19, 2013By 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

Mr. Steven J. Pollock

Title

President

Phone

(617) 886-1568

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1801138789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 MEDFORD ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021291426",
            "telephone_number": "617-886-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 POWDER MILL RD",
            "address_2": "SUITE 325",
            "city": "CALVERTON",
            "state": "MD",
            "postal_code": "207053149",
            "telephone_number": "617-886-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAQUEST VIRGINIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-886-1568",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Howard Brick, MD
• Aisha Bundu-Wurie, RN
• Shawntel Collins, M.S., LGPC, NCC
• Abiola Daso Daso
• Dentaquest Mid-Atlantic, Inc.
• Janice Goldwater, LCSW-C
• Harmony Healthcare Inc.
• William Thomas Henderson
• Caroline Hughes
• Intellaplay MD LLC

• Dentist in Calverton, MD
• Providers in Calverton, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.