Provider Demographics
NPI:1407030323
Name:RHEA DAVIS, DDS & ARSHIA SHINGLER, DDS, PC
Entity Type:Organization
Organization Name:RHEA DAVIS, DDS & ARSHIA SHINGLER, DDS, PC
Other - Org Name:GAINESVILLE PEDIATRIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-754-1580
Mailing Address - Street 1:7534 LIMESTONE DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-4005
Mailing Address - Country:US
Mailing Address - Phone:703-754-1580
Mailing Address - Fax:703-754-1897
Practice Address - Street 1:7534 LIMESTONE DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-4005
Practice Address - Country:US
Practice Address - Phone:703-754-1580
Practice Address - Fax:703-754-1897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014108031223P0221X
VA04014106421223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10642OtherDELTA
VA107236Medicaid
VA9178837Medicaid
VA186586OtherBCBS
VA1580984OtherUNITED CONCORDIA
VA9179290Medicaid
VA10803OtherDELTA
VA1753242OtherUNITED CONCORDIA