Doctor profile · Federal record
Dr. ALEKSANDRA KOMOGORTSEVA, DMD
General Practice Dentistry (CMS: DENTIST) · General Practice Dentistry · LYNCHBURG, VA
- NPI 1013532100
- 12 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1934 THOMSON DR
LYNCHBURG, VA 245011028
(540) 315-3725 - Additional location
-
1 Kneeland St
Boston, MA 021111527
(617) 636-6641 - Additional location
-
1407 N Veterans Pkwy Ste 12
Bloomington, IL 617046425
(309) 233-3922 - Mailing address
-
167 W 129TH ST APT 4C
NEW YORK, NY 100272105
Credentials & registration
- NPI registered
- June 2020 — 6 yrs on file
- Profile last updated
- August 30, 2024
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 1223G0001X — NUCC code
- State licenses (2)
- Virginia #0401418174 · Illinois #019033985
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013532100. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$37
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products Inc | 1 | $37.09 |