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 .

NPPES Updated May 11, 2026
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

NPPES · NUCC
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

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1013532100. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$37
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Ultradent Products Inc 1 $37.09

By nature of payment

Gift
$37