1. Home
  2. Directory
  3. Virginia
  4. Lynchburg
  5. Dentist
  6. NPI Profile

PERIODONTAL HEALTH ASSOCIATES
NPI 1326371048
Dentist - Periodontics in Lynchburg, VA

Active since September 14, 2009CLIA 49D2221080 · Waiver
525 LEESVILLE RD, LYNCHBURG, VA 24502(434) 455-2444(434) 237-2050 Get Directions Write a Review

NPPES record last updated: September 14, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Periodontal Health Associates NPPES

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

PERIODONTAL HEALTH ASSOCIATES (NPI 1326371048) is a healthcare organization registered as a periodontics in Lynchburg, Virginia and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through April 18, 2027 and lists Sherman Owen Smock, President, as its authorized official.

NPPES Registry Identity

NPI1326371048
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTAL HEALTH ASSOCIATES
Location Address525 LEESVILLE RDLynchburg, VA 24502-2328
Mailing Address525 Leesville RdLynchburg, VA 24502-2328 · (434) 455-2444 · Fax (434) 237-2050
Phone(434) 455-2444
Fax(434) 237-2050
Organization SubpartNo
Authorized OfficialSherman Owen SmockPresident · (434) 455-2444
Enumeration DateSeptember 14, 2009
✔ NPI 1326371048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in VA · 005531
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

525 LEESVILLE RD, Lynchburg, VA 24502
Open in Google Maps ↗

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

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 49D2221080

Periodontal Health Associates · Lynchburg, VA
Active · expires Apr 18, 2027
CLIA Number49D2221080
Laboratory TypePractitioner Other
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorRyan Anderson
Laboratory Phone(434) 455-2444
Laboratory LocationPeriodontal Health Associates525 Leesville Rd, Lynchburg, VA 24502
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 2

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

DR. YAILIN DIAZ PICHARDO DMD, MS
Dentist (Periodontics)
525 LEESVILLE RD
LYNCHBURG, VA 24502
Lynchburg City (434) 455-2444
LYNCHBURG PERIODONTICS PLLC
Dentist (Periodontics)
525 LEESVILLE RD
LYNCHBURG, VA 24502
Lynchburg City (434) 455-2444

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 Periodontal Health Associates's NPI number?

The NPI number for Periodontal Health Associates is 1326371048. It was assigned to this organization in the NPPES registry on September 14, 2009.

Where is Periodontal Health Associates located?

Periodontal Health Associates is located at 525 Leesville Rd, Lynchburg, VA 24502. The listed phone number is (434) 455-2444.

What is Periodontal Health Associates's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Does Periodontal Health Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2221080) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Periodontal Health Associates was last updated on September 14, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.