Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770019622 Individual Practitioner Male Practitioner

Eisa Jawad Abu Munshar

Dentist • Roanoke, VA

Professional Overview & Biography Verified Profile Summary

Eisa Abu Munshar is a registered healthcare professional specializing in Dentist in Roanoke, VA. Practice services are available at 4753 VALLEY VIEW BLVD NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4753 Valley View Blvd Nw

Roanoke, VA 24012

Telephone 6142820979

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Roanoke, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
68 Specialists

Practicing in Roanoke, 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 0401416557

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.

Secondary Practice Locations

500 Gypsy Ln

Youngstown, OH 445041315

Phone: 3308843058

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1073185062

Doctor of Dental Medicine

Dr. Shivani Patel , DDS

Dentist - General Practice

NPI 1316513625

Doctor of Dental Surgery

NPI 1437905650

Doctor of Dental Surgery

NPI 1760034466

Doctor of Dental Surgery

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location June 18, 2019

Registered at 4753 VALLEY VIEW BLVD NW, ROANOKE, VA 24012 (Tel: 6142820979)

📍
Updated Business Mailing Address June 18, 2019

Registered at 4753 VALLEY VIEW BLVD NW, ROANOKE, VA 240122000

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2019

Dentist (License #0401416557 in VA)

NPI Profile Active June 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2017

Registered at 500 GYPSY LN, YOUNGSTOWN, OH 445041315 (Tel: 3308843058)

📍
Updated Business Mailing Address June 22, 2017

Registered at 500 GYPSY LN, YOUNGSTOWN, OH 445041315 (Tel: 3308843058)

👤
Provider Name / Credentials Updated June 22, 2017

Recorded as EISA ABU MUNSHAR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2017

Student in an Organized Health Care Education/Training Program

NPI Profile Active May 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2017

Registered at 500 GYPSY LN, YOUNGSTOWN, OH 445041315 (Tel: 3308843058)

📍
Updated Business Mailing Address May 11, 2017

Registered at 500 GYPSY LN, YOUNGSTOWN, OH 445041315 (Tel: 3308843058)

👤
Provider Name / Credentials Updated May 11, 2017

Recorded as EISA ABU MUNSHAR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 11, 2017

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: 1770019622
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2017
Last Update: June 18, 2019
Sole Proprietor: Yes

Mailing Address

4753 Valley View Blvd Nw

Roanoke, VA 240122000

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.