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Active NPI 1720093693 Organization (Entity Type 2)

Drs. Soderquist & Weis, P. C.

Dentist - Orthodontics and Dentofacial Orthopedics • Charlottesville, VA

About Drs. Soderquist & Weis, P. C. NPI 1720093693 Summary

Drs. Soderquist & Weis, P. C. is a verified healthcare organization specializing in Dentist - Orthodontics and Dentofacial Orthopedics operating in Charlottesville, VA. Located at 1101 E JEFFERSON ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1720093693.

Administrative operations and authorized compliance are overseen by Judy Burruss (Office Manager).

The facility is associated with 6 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1101 E Jefferson St

Charlottesville, VA 229025353

Telephone 4349719601
Fax 4349719646

Authorized Official Information

Authorized Contact Name

MISS Judy Burruss

Title / Role

Office Manager

Official Telephone

4349719601

Facility Classifications & Specialties

Dentist - Orthodontics and Dentofacial Orthopedics Primary Taxonomy

NUCC Taxonomy Code: 1223X0400X

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

6 Linked

Dentist - Orthodontics and Dentofacial Orthopedics

Charlottesville, VA

View Practitioner Profile →

Dentist - Periodontics

Charlottesville, VA

View Practitioner Profile →

Dentist - Orthodontics and Dentofacial Orthopedics

Charlottesville, VA

View Practitioner Profile →
Sandra Yarbrough NPI 1346569654

Dentist - General Practice

Charlottesville, VA

View Practitioner Profile →

Nurse Practitioner - Psychiatric/Mental Health

Charlottesville, VA

View Practitioner Profile →

Dentist - General Practice

Charlottesville, VA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

7 Historical Events
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Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Dentist (License #S4157/ W8596 in VA)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 1101 E JEFFERSON ST, CHARLOTTESVILLE, VA 229025353 (Tel: 4349719601)

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Updated Business Mailing Address July 09, 2007

Registered at 1101 E JEFFERSON ST, CHARLOTTESVILLE, VA 229025353 (Tel: 4349719601)

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Organization / Clinic Name Updated July 09, 2007

Operating as DRS. SODERQUIST & WEIS, P. C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #S=4157/ W=8596 in VA)

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Initial NPI Registration & Enumeration July 29, 2006

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1720093693
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: July 29, 2006
Last Update: July 21, 2022

Mailing Address

1101 E Jefferson St

Charlottesville, VA 229025353

Phone: 4349719601

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.