MEDICARE: DR. JOSE E URRESTI SOBERON D.D.S

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	390200000X	Student in an Organized Health Care Education/Training Program
2	1223G0001X	General Practice Dentistry	10258	CT
3	1223G0001X	General Practice Dentistry	0401413819	VA

General Provider Information

NPI Number	:	1689872194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE E URRESTI SOBERON D.D.S

Provider Business Mailing Address
First Line	:	1615 OLD TRAIL DR
Second Line	:
City	:	CROZET
State	:	VA
Zip	:	22932-3342
Country	:	US
Telephone Number	:	434-282-5469
Fax Number	:

Provider Business Practice Location Address
First Line	:	1470 PANTOPS MOUNTAIN PL
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22911-4600
Country	:	US
Telephone Number	:	434-817-1817
Fax Number	:	434-817-1819

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2007
Last Update Date	:	09/25/2014

Similar Medicare Providers

1386015972 — PHYSICAL MEDICINE ASSOCIATES, LTD
Practice Location Address:

1460 PANTOPS MOUNTAIN PL , SUITE 2B
CHARLOTTESVILLE, VA
22911-4600

Practice Phone: 434-234-4910
Practice Fax: 434-327-1799

1770547036 — DVA RENAL HEALTHCARE INC
Practice Location Address:

1460 PANTOPS MOUNTAIN PL
CHARLOTTESVILLE, VA
22911-4600

Practice Phone: 434-979-5997
Practice Fax: 434-979-9409

1528081841 — DR. MARY LOVELL D.D.S.
Practice Location Address:

1470 PANTOPS MOUNTAIN PL
CHARLOTTESVILLE, VA
22911-4600

Practice Phone: 434-817-1817
Practice Fax: 434-817-1819

1487827945 — GIUSEPPE REBELLATO, D.D.S., P.C.
Practice Location Address:

1470 PANTOPS MOUNTAIN PL
CHARLOTTESVILLE, VA
22911-4600

Practice Phone: 434-984-1817
Practice Fax: 434-817-1819

1407183080 — DR. MOUHAMMAD HAZEM SEIRAWAN DDS MPH MS
Practice Location Address:

1470 PANTOPS MOUNTAIN PL , CHILDREN'S DENTISTRY OF CHARLOTTESVILLE
CHARLOTTESVILLE, VA
22911-4600

Practice Phone: 434-817-1817
Practice Fax:

1033425335 — DR. HEATHER BALLENTINE D.D.S.
Practice Location Address:

1470 PANTOPS MOUNTAIN PL , CHILDREN'S DENTISTRY OF CHARLOTTESVILLE
CHARLOTTESVILLE, VA
22911-4600

Practice Phone: 434-817-1817
Practice Fax:

Directions to “ DR. JOSE E URRESTI SOBERON D.D.S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.