Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073704219 Individual Practitioner Male Practitioner

Dr. David Brent Pemberton , DDS

Dentist - General Practice • Richmond, VA

Professional Overview & Biography Verified Profile Summary

Dr. David Pemberton, DDS is a registered healthcare professional specializing in Dentist - General Practice in Richmond, VA. Practice services are available at 101 COWARDIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Cowardin Ave
Suite 303

Richmond, VA 232242078

Telephone 8042336811
Fax 8042300980
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Richmond, VA

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

Practicing in Richmond, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401005552

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7815042 (VA)
Commercial Insurance / Payer ID United Concordia
000762638 (PA)
Commercial Insurance / Payer ID Anthem
077683 (VA)
Commercial Insurance / Payer ID Doral Dental
165313 (WI)
Commercial Insurance / Payer ID United Concordia
001701144 (PA)
Commercial Insurance / Payer ID Anthem
172260 (VA)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Leon Brown , MD

Family Medicine

NPI 1174535009

Doctor of Medicine (M.D.)

Dr. Ronald Cade , DMD

Dentist - General Practice

NPI 1215157748

Doctor of Dental Medicine

Dr. Janice Gibson-Neale , MD

Obstetrics & Gynecology

NPI 1659489474

Doctor of Medicine (M.D.)

NPI 1962424929

Doctor of Medicine (M.D.)

Dr. Renard Charity , MD

Obstetrics & Gynecology

NPI 1982712766

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 16, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2013

Registered at 101 COWARDIN AVE, SUITE 303, RICHMOND, VA 232242078 (Tel: 8042336811)

📍
Updated Business Mailing Address October 16, 2013

Registered at 101 COWARDIN AVE, SUITE 303, RICHMOND, VA 232242078 (Tel: 8042336811)

👤
Provider Name / Credentials Updated October 16, 2013

Recorded as DAVID PEMBERTON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2013

Dentist (License #0401005552 in VA)

🟢
Initial NPI Registration & Enumeration August 05, 2007

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: 1073704219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2007
Last Update: October 16, 2013
Sole Proprietor: No

Mailing Address

101 Cowardin Ave, Suite 303

Richmond, VA 232242078

Phone: 8042336811

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.