Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063816163 Individual Practitioner Male Practitioner

Dr. Waldo Oliver Valdivia , DDS

Dentist - General Practice • Burke, VA

Professional Overview & Biography Verified Profile Summary

Dr. Waldo Valdivia, DDS is a registered healthcare professional specializing in Dentist - General Practice in Burke, VA. Practice services are available at 9554 OLD KEENE MILL RD STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9554 Old Keene Mill Rd Ste C

Burke, VA 220154287

Telephone 7039524003
Fax 5712810001
Associated Practice Facility / Clinic
🏢 Nabeel Khan Dds Pc Facility NPI 1033392881

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Burke, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
32 Specialists

Practicing in Burke, VA (3535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401416353

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License MA DL12425

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1093907289

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 14, 2023

Registered at 9554 OLD KEENE MILL RD STE C, BURKE, VA 220154287 (Tel: 7039524003)

📍
Updated Business Mailing Address October 14, 2023

Registered at 9554 OLD KEENE MILL RD STE C, BURKE, VA 220154287 (Tel: 7039524003)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2023

Dentist (License #0401416353 in VA)

NPI Profile Active April 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2016

Registered at 269 UNION ST, LYNN, MA 019011314 (Tel: 7815962502)

📍
Updated Business Mailing Address April 05, 2016

Registered at 269 UNION ST, LYNN, MA 019011314 (Tel: 7815962502)

👤
Provider Name / Credentials Updated April 05, 2016

Recorded as WALDO VALDIVIA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2016

Dentist (License #DL12425 in MA)

🟢
Initial NPI Registration & Enumeration October 17, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063816163
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2014
Last Update: October 14, 2023
Sole Proprietor: No

Mailing Address

9554 Old Keene Mill Rd Ste C

Burke, VA 220154287

Phone: 7039524003

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.