Tremont Road Dental Super, P.C.
NPI 1255524120 · General Practice Dentistry · Woodbridge, VA
Tremont Road Dental Super, P.C. is a General Practice Dentistry organization in Woodbridge, VA (NPI 1255524120).
Provider details
- NPI number
- 1255524120
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michelle Jacomino, Director of Payor Relations(770) 916-5036
- License
- 0401411091 (VA)
Specialties & taxonomies
Dental Providers
Dental Providers
- Endodontics1223E0200X
Dental Providers
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pine Dentistry
Registry dates
- Enumerated
- 2007-08-23
- Last updated
- 2024-01-18
- Certified
- 2024-01-18
Frequently asked questions
- What is Tremont Road Dental Super, P.C.'s NPI number?
- Tremont Road Dental Super, P.C.'s National Provider Identifier (NPI) is 1255524120, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tremont Road Dental Super, P.C.?
- Tremont Road Dental Super, P.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Tremont Road Dental Super, P.C. located?
- Tremont Road Dental Super, P.C.'s practice location on file with NPPES is 2000 Daniel Stuart Sq, Woodbridge, VA 22191-3315.
- What is Tremont Road Dental Super, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Tremont Road Dental Super, P.C. is (770) 916-9000.
- Who is the authorized official for Tremont Road Dental Super, P.C.?
- The authorized official listed on Tremont Road Dental Super, P.C.'s NPPES record is Michelle Jacomino, Director of Payor Relations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tremont Road Dental Super, P.C.'s NPI active?
- Yes — Tremont Road Dental Super, P.C.'s NPI (1255524120) is active in the NPPES registry as of the last update on 2024-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.