Quinnie Phan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401418497 Issued in VA

Practice address

361 Walker Dr Ste 204
Warrenton, VA 20186-4364

Phone

(540) 341-4111

Fax

(540) 341-4991

NPI assigned

Jun 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jason S Woodside DDS & Thomas C Sentz DDS, P.C.

  • General Practice Dentistry
  • Warrenton, VA
  • NPI 1992952600
  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1942994231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11721 KARBON HILL CT APT T2",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201912345",
            "telephone_number": "602-369-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 WALKER DR STE 204",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201864364",
            "telephone_number": "540-341-4111",
            "fax_number": "540-341-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "QUINNIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Perreault, BCBA
• Henri Perrotte, NP
• Janice Vitanza Perry, RPH, PHARMD, FASCP
• Andrea Peterson
• David M Pfeffer, M.D.
• Anne Herald Phillips, M.A.,CCC-SLP
• Piedmont Family Practice, PLC
• Piedmont Home Care
• Piedmont Internal Medicine PLC
• Piedmont Neuropsychology & Counseling PLC

• General Practice Dentistry in Warrenton, VA
• Providers in Warrenton, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.