Organization · Type 2 NPI

Upper Mattaponi Indian Tribe

Dental Clinic/Center · Aylett, VA

NPI number 1245098391 Active

Practice location

8014 Richmond Tappahannock Hwy
Aylett, VA 23009-3056

Call (804) 769-2015 Map

Mailing address

13476 King William Rd
King William, VA 23086-3401

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry	1223G0001X	None listed
Pediatric Dentistry	1223P0221X	None listed
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

Another provider at this address

Camila Alejandra Negron Garcia, DDSGeneral Practice Dentistry Aylett, VA NPI 1316697980

NPI record

NPI: 1245098391
Entity type: Organization (Type 2)
Issued: Mar 12, 2024
Last updated: Jun 27, 2024
Status: Active
Subpart: Yes of Upper Mattaponi Indian Tribe

Other names

Aylett Family Dentistry · doing business as

Authorized official

Steven Tupponce
Director-Umit Health Services
(804) 347-4109

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245098391

Upper Mattaponi Indian Tribe's National Provider Identifier is 1245098391, issued on Mar 12, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Aylett, VA. The record was last updated on Jun 27, 2024.