Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740437672 Individual Practitioner Male Practitioner

Dr. Philip James Spory , DDS

Dentist • King George, VA

Professional Overview & Biography Verified Profile Summary

Dr. Philip Spory, DDS is a registered healthcare professional specializing in Dentist in King George, VA. Practice services are available at 15521 REAL ESTATE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15521 Real Estate Ave
Suite 200

King George, VA 224855327

Telephone 5406930631
Associated Practice Facility / Clinic
🏢 King George Dental Llc Facility NPI 1538412424

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in King George, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
3 Specialists

Practicing in King George, VA (2514 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License VA 0401413422

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5057872 (WA)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Carmelot Eliassaint , APRN

Nurse Practitioner - Family

NPI 1447009253

Advanced Practice Registered Nurse

Shannon Mones , FNP

Nurse Practitioner - Family

NPI 1679452486

Family Nurse Practitioner

Amanda Laboy

Student in an Organized Health Care Education/Training Program

NPI 1982571527

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2012

Registered at 15521 REAL ESTATE AVE, SUITE 200, KING GEORGE, VA 224855327 (Tel: 5406930631)

📍
Updated Business Mailing Address October 16, 2012

Registered at 15521 REAL ESTATE AVE, SUITE 200, KING GEORGE, VA 224855327 (Tel: 5406930631)

👤
Provider Name / Credentials Updated October 16, 2012

Recorded as PHILIP SPORY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2012

Dentist (License #0401413422 in VA)

🟢
Initial NPI Registration & Enumeration August 21, 2008

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: 1740437672
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2008
Last Update: October 16, 2012
Sole Proprietor: Yes

Mailing Address

15521 Real Estate Ave, Suite 200

King George, VA 224855327

Phone: 5406930631

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.