Abingdon Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401410901 Issued in VA

Legal business name

ABINGDON PEDIATRIC DENTISTRY

Practice address

465 W Main St
Abingdon, VA 24210-2630

Phone

(276) 739-7942

Fax

(276) 739-7943

NPI assigned

Jul 11, 2011

Last updated

Jul 11, 2011By 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

Evelyn M Rolon, D.M.D.NPI 1053392563

Title

Pediodontist

Phone

(276) 739-7942

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evelyn M. Rolon, D.M.D.

  • Pediatric Dentistry
  • Abingdon, VA
  • NPI 1053392563
  NPD (past) Authorized official

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1871881912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1925",
            "address_2": "465 W. MAIN STREET",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242121925",
            "telephone_number": "276-739-7942",
            "fax_number": "276-739-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 W MAIN ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102630",
            "telephone_number": "276-739-7942",
            "fax_number": "276-739-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGDON PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "ROLON",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PEDIODONTIST",
        "authorized_official_telephone_number": "276-739-7942",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401410901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abingdon Healthcare for Women PLLC
• Abingdon Hearing Care
• Abingdon Integrative Psychiatry LLC
• Abingdon Internal Medicine PC
• Abingdon Opticians LTD (Potters Abingdon Opticians)
• Abingdon Physician Partners (Mountain Gastroenterology)
• Abingdon Physician Partners
• Abingdon Physician Partners
• Abingdon Physician Partners (Old Dominion Healthcare)
• Abingdon Physician Partners (Blue Ridge Orthopedics and Sports Medicine)

• Pediatric Dentistry in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.