Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770736563 Individual Practitioner Male Practitioner

Alfred Joseph Certosimo

Dentist - General Practice • Richmond, VA

Professional Overview & Biography Verified Profile Summary

Alfred Certosimo is a registered healthcare professional specializing in Dentist - General Practice in Richmond, VA. Practice services are available at 520 N 12TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

520 N 12th St
P.o. 980566

Richmond, VA 232985064

Telephone 8048289190
Fax 8048289358
Associated Practice Facility / Clinic
🏢 Dentistry Vcu Facility NPI 1790877504

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 0401008264

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
5894 (VA)
Commercial Insurance / Payer ID United Concordia
153654 (VA)
Commercial Insurance / Payer ID Anthem
453709 (VA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Shahrzad Orenduff , DDS

Dentist - General Practice

NPI 1003229733

Doctor of Dental Surgery

Brandon Khor

Student in an Organized Health Care Education/Training Program

NPI 1053053637
NPI 1063253995

Doctor of Dental Surgery

Dr. William Lee , DMD

Student in an Organized Health Care Education/Training Program

NPI 1063917128

Doctor of Dental Medicine

Dr. Kaitlyn Reid , DDS

Dentist - Periodontics

NPI 1083531818

Doctor of Dental Surgery

Maryam Alrughaib

Dentist - Endodontics

NPI 1093576019

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 24, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2008

Registered at 520 N 12TH ST, P.O. 980566, RICHMOND, VA 232985064 (Tel: 8048289190)

📍
Updated Business Mailing Address October 24, 2008

Registered at 520 N 12TH ST, P.O. 980566, RICHMOND, VA 232985064 (Tel: 8048289190)

👤
Provider Name / Credentials Updated October 24, 2008

Recorded as ALFRED CERTOSIMO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2008

Dentist (License #0401008264 in VA)

🟢
Initial NPI Registration & Enumeration October 24, 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: 1770736563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2008
Last Update: October 24, 2008
Sole Proprietor: Yes

Mailing Address

520 N 12th St, P.o. 980566

Richmond, VA 232985064

Phone: 8048289190

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.