Norman Prillaman DDS LTD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0401008100 Issued in VA

Legal business name

NORMAN PRILLAMAN DDS LTD

Practice address

306 Brook Park Place
Forest, VA 24551

Phone

(434) 385-4499

Fax

(434) 385-7944

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

William Norman Prillaman II, DDS

Title

Owner/Orthodontist

Phone

(434) 385-4499

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Orthodontic Arts Doing business as

Locations

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1982807285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 BROOK PARK PLACE",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "24551",
            "telephone_number": "434-385-4499",
            "fax_number": "434-385-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 BROOK PARK PLACE",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "24551",
            "telephone_number": "434-385-4499",
            "fax_number": "434-385-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN PRILLAMAN DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "PRILLAMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "434-385-4499",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401008100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9178723",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontic Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Forest, VA
• Providers in Forest, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.