Organization · Type 2 NPI

Southside Dental Cares, PC

Dental Clinic/Center · Petersburg, VA

NPI number 1962154252 Active

Practice location

2731 S Crater Rd
Petersburg, VA 23805-2403

Mailing address

5231 Hickory Park Dr Ste E
Glen Allen, VA 23059-2619

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1962154252

Southside Dental Cares, PC's National Provider Identifier is 1962154252, issued on Jan 19, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Petersburg, VA. The record was last updated on Jan 19, 2022.