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BON SECOURS PEDIATRIC DENTAL ASSOCIATES
NPI 1265706188
Dentist - Pediatric Dentistry in Richmond, VA

Active since February 24, 2012CLIA 49D2046915 · Waiver
6900 FOREST AVE, SUITE 110, RICHMOND, VA 23230(804) 893-8715(804) 285-1292 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 5, 2021, Aug 6, 2021, Aug 30, 2019 and 2 more (5 updates tracked since 2016).

About Bon Secours Pediatric Dental Associates NPPES

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

BON SECOURS PEDIATRIC DENTAL ASSOCIATES (NPI 1265706188) is a healthcare organization registered as a pediatric dentistry in Richmond, Virginia and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through September 12, 2026 and lists Joseph Hardy, Cfo, as its authorized official.

NPPES Registry Identity

NPI1265706188
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC
Location Address6900 FOREST AVE, SUITE 110Richmond, VA 23230-1701
Mailing Address8580 Magellan PkwyRichmond, VA 23227-1149 · Fax (866) 449-0896
Phone(804) 893-8715
Fax(804) 285-1292
Organization SubpartNo
Authorized OfficialJoseph HardyCfo · (937) 478-2932
Enumeration DateFebruary 24, 2012
Last NPPES UpdateOctober 5, 20215 updates tracked since enumeration
NPPES CertifiedOctober 5, 2021
✔ NPI 1265706188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
6900 FOREST AVE, Richmond, VA 23230
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Other Names 1

Doing Business AsBon Secours Pediatric Dental Associates

Other Identifiers 1

OtherC06778VA · Group Ptan

Group Practice 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2046915

Bon Secours Pediatric Dental Associates · Richmond, VA
Active · expires Sep 12, 2026
CLIA Number49D2046915
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2024
Certificate Expiration DateSeptember 12, 2026
Laboratory DirectorJohn H. Unkel
Laboratory Phone(804) 893-8715
Laboratory LocationBon Secours Pediatric Dental Associates6900 Forest Avenue - Suite 10, Richmond, VA 23230
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER IAN ALEXANDER DMD
Dentist (Pediatric Dentistry)
6900 FOREST AVE
RICHMOND, VA 23230
Henrico County (804) 893-8715
DR. KATHERINE LAVAN SMALLWOOD M.D.
Internal Medicine
6900 FOREST AVE, SUITE 300
RICHMOND, VA 23230
Henrico County (804) 346-1515
CHARLENE NG MD
Family Medicine
6900 FOREST AVE, SUITE 300
RICHMOND, VA 23230
Henrico County (804) 346-1515
EMILY ASHLEY
Family Medicine
6900 FOREST AVE, SUITE 115
RICHMOND, VA 23230
Henrico County (804) 893-8710
ZHENI AVRAM M.D.
Internal Medicine
6900 FOREST AVE, SUITE 300
RICHMOND, VA 23230
Henrico County (804) 346-1515
JEFFREY FLETCHER MAZZOLA
Dentist (Pediatric Dentistry)
6900 FOREST AVE
RICHMOND, VA 23230
Henrico County (804) 893-8692
DR. ZACHARY M. SHOOK M.D.
Internal Medicine
6900 FOREST AVE, SUITE 300
RICHMOND, VA 23230
Henrico County (804) 346-1515
DR. JOHN MONROE DANIEL III M.D.
Internal Medicine
6900 FOREST AVE, SUITE 300
RICHMOND, VA 23230
Henrico County (804) 346-1515

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 Bon Secours St Mary's Hospital Of Richmond LLC's NPI number?

The NPI number for Bon Secours St Mary's Hospital Of Richmond LLC is 1265706188. It was assigned to this organization in the NPPES registry on February 24, 2012. The provider is doing business as Bon Secours Pediatric Dental Associates.

Where is Bon Secours St Mary's Hospital Of Richmond LLC located?

Bon Secours St Mary's Hospital Of Richmond LLC is located at 6900 Forest Ave Suite 110, Richmond, VA 23230. The listed phone number is (804) 893-8715.

What is Bon Secours St Mary's Hospital Of Richmond LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Does Bon Secours St Mary's Hospital Of Richmond LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2046915) is associated with this NPI, valid through September 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bon Secours St Mary's Hospital Of Richmond LLC accept?

Health plans from UnitedHealthcare list Bon Secours St Mary's Hospital Of Richmond LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bon Secours St Mary's Hospital Of Richmond LLC was last updated on October 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.