MEDICARE: RHEA DAVIS, DDS & ARSHIA SHINGLER, DDS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	0401410803	VA
2	1223P0221X	Pediatric Dentistry	0401410642	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10642	OTHER	VA	DELTA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	186586	OTHER	VA	BCBS
5	1580984	OTHER	VA	UNITED CONCORDIA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	10803	OTHER	VA	DELTA
8	1753242	OTHER	VA	UNITED CONCORDIA

General Provider Information

NPI Number	:	1407030323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RHEA DAVIS, DDS & ARSHIA SHINGLER, DDS, PC

Provider Business Mailing Address
First Line	:	7534 LIMESTONE DR
Second Line	:
City	:	GAINESVILLE
State	:	VA
Zip	:	20155-4005
Country	:	US
Telephone Number	:	703-754-1580
Fax Number	:	703-754-1897

Provider Business Practice Location Address
First Line	:	7534 LIMESTONE DR
Second Line	:
City	:	GAINESVILLE
State	:	VA
Zip	:	20155-4005
Country	:	US
Telephone Number	:	703-754-1580
Fax Number	:	703-754-1897

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. TINA PERRY
Credential	:
Telephone Number	:	703-754-1580

Provider Enumeration Date	:	12/27/2007
Last Update Date	:	12/27/2007

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