Organization · Type 2 NPI
Mavis Dental
Dental Clinic/Center · Glen Allen, VA
NPI number
1861303646
Active
Practice location
4805 Lake Brook Dr Ste 150
Glen Allen, VA 23060-9278
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1861303646
Mavis Dental's National Provider Identifier is 1861303646, issued on Sep 14, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Glen Allen, VA. The record was last updated on Sep 14, 2026.