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PINE DENTISTRY
NPI 1255524120
Dentist - General Practice in Woodbridge, VA

Active since August 23, 2007
2000 DANIEL STUART SQ, WOODBRIDGE, VA 22191(770) 916-9000 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 25, 2022, Feb 3, 2022 (2 updates tracked since 2022).

About Pine Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINE DENTISTRY (NPI 1255524120) is a healthcare organization registered as a general practice in Woodbridge, Virginia and active in the NPI registry since August 2007. The organization lists Michelle Jacomino, Director Of Payor Relations, as its authorized official.

NPPES Registry Identity

NPI1255524120
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTREMONT ROAD DENTAL SUPER, P.C.
Location Address2000 DANIEL STUART SQWoodbridge, VA 22191-3315
Mailing Address210 Interstate North Pkwy Se Ste 300Atlanta, GA 30339-2233 · (770) 916-9000
Phone(770) 916-9000
Organization SubpartNo
Authorized OfficialMichelle JacominoDirector Of Payor Relations · (770) 916-5036
Enumeration DateAugust 23, 2007
Last NPPES UpdateJanuary 18, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
✔ NPI 1255524120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 0401411091 (VA)
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
2000 DANIEL STUART SQ, Woodbridge, VA 22191
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Other Names 1

Doing Business AsPine Dentistry

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tremont Road Dental Super, P.C.'s NPI number?

The NPI number for Tremont Road Dental Super, P.C. is 1255524120. It was assigned to this organization in the NPPES registry on August 23, 2007. The provider is doing business as Pine Dentistry.

Where is Tremont Road Dental Super, P.C. located?

Tremont Road Dental Super, P.C. is located at 2000 Daniel Stuart Sq, Woodbridge, VA 22191. The listed phone number is (770) 916-9000.

What is Tremont Road Dental Super, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tremont Road Dental Super, P.C. was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.