Individual provider · Type 1 NPI
Gordon Joseph Miniclier, DDS PC
General Practice Dentistry · Independence, VA
NPI number
1881768166
Active
Practice location
150 West Main Street
Independence, VA 24348-0560
Fax (276) 773-3822
Mailing address
PO Box 560, 150 West Main Street
Independence, VA 24348-0560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 0401005508 (VA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
About NPI 1881768166
Gordon Joseph Miniclier, DDS PC's National Provider Identifier is 1881768166, issued on Nov 20, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Independence, VA. The record was last updated on Jul 8, 2007.