Tremont Road Dental Super, P.C.
NPI 1255524120ActiveOrganization· Dentist, General Practice· Woodbridge, VA
Dentist, General Practice in Woodbridge, Virginia, registered in NPPES in August 2007. The authorized official on file is Michelle Jacomino, Director Of Payor Relations.
Overview
| NPI | 1255524120 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2007 |
| Last updated in NPPES | Jan 18, 2024 |
| Certified by provider | Jan 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist | 122300000X | 0401411091 | VA |
| Dentist, Endodontics | 1223E0200X | — | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other general dentists in Woodbridge
- 1003002361
- 1073534053
- 1093485559
- 1093708307
- 1124645577
- 1184834863
- 1194817296
- 1215108048
- 1245320761
- 1245963347
- 1255318754
- 1295829166
All 109 general dentists in Woodbridge · All general dentists in Virginia