Organization · Type 2 NPI

Dental Professionals of Virginia, P.c.

General Practice Dentistry · Glen Allen, VA

NPI number 1962813402 Active

Practice location

11549 Nuckols Rd Ste A
Glen Allen, VA 23059-5664

Fax (804) 527-2987

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

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.

2 other providers at this address

Other general practice dentistry providers in Glen Allen

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NPI record

NPI: 1962813402
Entity type: Organization (Type 2)
Issued: May 19, 2014
Last updated: May 19, 2014
Status: Active
Subpart: Yes of Dental Professionals of Virginia, P.c.

Other names

<unavail>
Family Dentistry of Short Pump · doing business as

Authorized official

Kim Wilson
Cred Supervisor
(217) 540-5170

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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 1962813402

Dental Professionals of Virginia, P.c.'s National Provider Identifier is 1962813402, issued on May 19, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Glen Allen, VA. The record was last updated on May 19, 2014.