OrganizationActive
Dominion Health Medical Associates
NPI 1508110057 · Dentist · South Boston, VA
Dominion Health Medical Associates is a Dentist organization in South Boston, VA (NPI 1508110057).
Provider details
- NPI number
- 1508110057
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Cecil Hazelwood, Manager Dhg(434) 517-3515
- License
- 0401412161 (VA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
101 Aubreys Loop
South Boston, VA 24592-5056
Phone: (434) 517-8361
Fax: (434) 517-8367
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 860
South Boston, VA 24592-0860
Other names (DBA / former)
- Doing business as
- Halifax Regional Dental Clinic
Registry dates
- Enumerated
- 2012-11-06
- Last updated
- 2012-11-06
Frequently asked questions
- What is Dominion Health Medical Associates's NPI number?
- Dominion Health Medical Associates's National Provider Identifier (NPI) is 1508110057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dominion Health Medical Associates?
- Dominion Health Medical Associates is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Dominion Health Medical Associates located?
- Dominion Health Medical Associates's practice location on file with NPPES is 101 Aubreys Loop, South Boston, VA 24592-5056.
- What is Dominion Health Medical Associates's phone number?
- The practice phone number listed in the NPPES registry for Dominion Health Medical Associates is (434) 517-8361.
- Who is the authorized official for Dominion Health Medical Associates?
- The authorized official listed on Dominion Health Medical Associates's NPPES record is Cecil Hazelwood, Manager Dhg. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dominion Health Medical Associates's NPI active?
- Yes — Dominion Health Medical Associates's NPI (1508110057) is active in the NPPES registry as of the last update on 2012-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.