VA Beach Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VA BEACH DENTAL, PLLC

Practice address

4625 Virginia Beach Blvd Ste 101a
Virginia Beach, VA 23462-7789

Phone

(757) 807-2137

NPI assigned

Jan 2, 2025

Organization subpart

No

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

Authorized official

Name

Christine Barber

Title

Provider Enrollment Team Lead

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Priscilla M Johnson, DDS

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1164917365
  NPD (past)
• Jennifer Pella, DMD

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1437755840
  NPD (past)
• Anshelle Tucker, DMD

  • Dentist
  • V Irginia Beach, VA
  • NPI 1164160537

  General Practice

  NPD (past)

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1962211128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887",
            "telephone_number": "315-454-6000",
            "fax_number": "315-410-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 VIRGINIA BEACH BLVD STE 101A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627789",
            "telephone_number": "757-807-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA BEACH DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT TEAM LEAD",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Harold Utterback, DMD
• Stacy Utton
• Hailey Utz
• Courtney Janelle Uzzle, LMT
• Elizabeth Gray Uzzle, CRNM
• Daniel Joseph Vacendak, D.D.S.
• Wendy Vaiden
• Simin Vakily Asl, MD
• Samantha Valdez, PT, DPT
• Amanda Valdivia, PA

• General Practice Dentistry in Virginia Beach, VA
• Providers in Virginia Beach, 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 Jan 2, 2025; 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.