HALIFAX REGIONAL DENTAL CLINIC
NPI 1508110057
Dentist in South Boston, VA

Q: What is Dominion Health Medical Associates's NPI number?

The NPI number for Dominion Health Medical Associates is 1508110057. It was assigned to this organization in the NPPES registry on November 6, 2012. The provider is doing business as Halifax Regional Dental Clinic.

Q: What is Dominion Health Medical Associates's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since November 06, 2012

101 AUBREYS LOOP, SOUTH BOSTON, VA 24592(434) 517-8361(434) 517-8367 Get Directions Write a Review

NPPES record last updated: November 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Halifax Regional Dental Clinic NPPES

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

HALIFAX REGIONAL DENTAL CLINIC (NPI 1508110057) is a healthcare organization registered as a dentist in South Boston, Virginia and active in the NPI registry since November 2012. The organization lists Cecil Hazelwood, Manager Dhg, as its authorized official.

NPPES Registry Identity

NPI1508110057

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameDOMINION HEALTH MEDICAL ASSOCIATES

Location Address101 AUBREYS LOOPSouth Boston, VA 24592-5056

Mailing AddressPo Box 860South Boston, VA 24592-0860 · (434) 517-8361 · Fax (434) 517-8367

Phone(434) 517-8361

Fax(434) 517-8367

Organization SubpartNo

Authorized OfficialCecil HazelwoodManager Dhg · (434) 517-3515

Enumeration DateNovember 6, 2012

✔ NPI 1508110057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in VA · 0401412161

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

101 AUBREYS LOOP, South Boston, VA 24592

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Other Names 1

Doing Business AsHalifax Regional Dental Clinic

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

Other Providers at the Same Location NPPES 16

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

WHITNEY HEATHER RAE HOLLEY DNP

Nurse Practitioner (Family)