Julian W. Fields D.D.S., LTD.
Organization Active NPI Dental Clinic/Center · Altavista, VA
NPI 1861658726 · NPPES record last updated Jul 31, 2008
Key facts
- NPI
- 1861658726
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 0401008664 (VA)
- Legal business name
- JULIAN W. FIELDS D.D.S., LTD.
- Practice address
- 2180 Lynch Mill Rd
Altavista, VA 24517-1150 - Phone
- (434) 369-4702
- Fax
- (434) 369-4703
- NPI assigned
- Jul 31, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Julian W. Fields IV, D.D.S.
- Title
- Dentist/Owner
- Phone
- (434) 369-4702
Corporate family (same tax ID) 1
Practitioners 2
-
Julian William Fields IV, D.D.S.
-
Sarita Bhushan, D.D.S.
National Provider Directory
- Tax ID family
- Altavista Dental
Locations
2180 Lynch Mill Rd
Altavista, VA 24517
Phone (434) 369-4702
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 0401008664 | VA | Yes |
| Dental Clinic/Center | 261QD0000X | 0401007246 | VA |
Addresses
Primary practice location
2180 Lynch Mill Rd
Altavista, VA 24517-1150
Mailing address
2180 Lynch Mill Rd
Altavista, VA 24517-1150
Phone (434) 369-4702
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108554 | Other | VA | MEDICAID LOCATION NUMBER |
| 1245383397 | Other | VA | INDIVIDUAL PROVIDER NPI |
| 463565 | Other | VA | BLUE CROSS BLUE SHIELD PROVIDER NUMBER |
| 1578533063 | Other | VA | INDIVIDUAL PROVIDER NPI |
| 9180988 | Medicaid | VA | |
| 342746 | Other | VA | BLUE CROSS BLUE SHIELD PROVIDER NUMBER |
Other providers in Altavista, VA
- Rachel Mia Hicks
- Gwen Hooks
- Horizon Behavioral Health
- Jeff Dalton Inc Medicine Shoppe
- Julian Fields, DDS LTD
- McKayla Marie Kimball
- Anna Legard
- Allison Maddy
- Katelyn Overstreet
- Stacey M Owen
All providers in Altavista, VA · Dental Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.