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KING GEORGE DENTAL LLC
NPI 1538412424
Dentist in King George, VA

Active since October 17, 2012
15521 REAL ESTATE AVE, STE 200, KING GEORGE, VA 22485(540) 663-3139 Get Directions Write a Review

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

About King George Dental Llc NPPES

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

KING GEORGE DENTAL LLC (NPI 1538412424) is a healthcare organization registered as a dentist in King George, Virginia and active in the NPI registry since October 2012. The organization lists Philip James Spory, President, as its authorized official.

NPPES Registry Identity

NPI1538412424
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameKING GEORGE DENTAL LLC
Location Address15521 REAL ESTATE AVE, STE 200King George, VA 22485-5327
Mailing Address15521 Real Estate Ave, Ste 200King George, VA 22485-5327 · (540) 663-3139
Phone(540) 663-3139
Organization SubpartNo
Authorized OfficialPhilip James SporyPresident · (540) 663-3139
Enumeration DateOctober 17, 2012
Last NPPES UpdateDecember 6, 2012
✔ NPI 1538412424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in VA · 0401413422
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.
15521 REAL ESTATE AVE, King George, VA 22485
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Other Identifiers 1

Medicaid5057872WA

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 5

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

CARMELOT ELIASSAINT APRN
Nurse Practitioner (Family)
15521 REAL ESTATE AVE
KING GEORGE, VA 22485
King George County (540) 289-2273
SHANNON D MONES FNP
Nurse Practitioner (Family)
15521 REAL ESTATE AVE
KING GEORGE, VA 22485
King George County (540) 289-2273
MR. PHILIP JAMES SPORY DDS
Dentist
15521 REAL ESTATE AVE, SUITE 200
KING GEORGE, VA 22485
King George County (540) 693-0631
CONVENIENCE URGENT CARE
Family Medicine
15521 REAL ESTATE AVE, SUITE 206
KING GEORGE, VA 22485
King George County (347) 751-3641
AMANDA LABOY
Student in an Organized Health Care Education/Training Program
15521 REAL ESTATE AVE
KING GEORGE, VA 22485
King George County (540) 283-2273

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 King George Dental LLC's NPI number?

The NPI number for King George Dental LLC is 1538412424. It was assigned to this organization in the NPPES registry on October 17, 2012.

Where is King George Dental LLC located?

King George Dental LLC is located at 15521 Real Estate Ave Ste 200, King George, VA 22485. The listed phone number is (540) 663-3139.

What is King George Dental LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for King George Dental LLC was last updated on December 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.