| Altavista Dental | |
|
2180 Lynch Mill Rd Altavista VA 24517-1150 | |
| (434) 369-4702 | |
| (434) 369-4703 |
| Full Name | Altavista Dental |
|---|---|
| Speciality | Dentist |
| Location | 2180 Lynch Mill Rd, Altavista, Virginia |
| Authorized Official Name and Position | Julian Fields (DENTIST/OWNER) |
| Authorized Official Contact | 4343694702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Altavista Dental 2180 Lynch Mill Rd Altavista VA 24517-1150 Ph: (434) 369-4702 | Altavista Dental 2180 Lynch Mill Rd Altavista VA 24517-1150 Ph: (434) 369-4702 |
| NPI Number | 1326440546 |
|---|---|
| Provider Enumeration Date | 09/18/2014 |
| Last Update Date | 09/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326440546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401414545 (Virginia) | Primary |
Brenda M Elliott Dds Plc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1208 Main St, Altavista, VA 24517 Phone: 434-369-6244 | |
Julian W. Fields D.d.s., Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2180 Lynch Mill Rd, Altavista, VA 24517 Phone: 434-369-4702 Fax: 434-369-4703 |