Gentlecare Family Dentistry, P.C.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

0401411673 Issued in VA

Legal business name

GENTLECARE FAMILY DENTISTRY, P.C.

Practice address

1341 S Military Hwy
Chesapeake, VA 23320-2513

Phone

(757) 447-7333

Fax

(757) 394-3394

NPI assigned

Feb 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sean DO, D.M.D.NPI 1003005547

Title

Ceo

Phone

(757) 447-7333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Phuc DO, DMD

  • Pediatric Dentistry
  • Chesapeake, VA
  • NPI 1003005547
  NPD (past) Authorized official

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1821237835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 S MILITARY HWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202513",
            "telephone_number": "757-447-7333",
            "fax_number": "757-394-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 S MILITARY HWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202513",
            "telephone_number": "757-447-7333",
            "fax_number": "757-394-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLECARE FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-447-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VA",
            "license": "0401411673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Marie Genera
• Genesis Counseling Center, Inc.
• Genesis Counseling Center, Inc.
• Genesis Eyecare
• Donald James Gentilini, CSAC
• Amanda L Gentry, IDC
• George W. Pegram III
• George W. Pegram III, O.D.
• George Washington Health & Rehab of Chesapeake, Inc
• Susan George, PSYD

• Health Maintenance Organization in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Health Maintenance Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.