| Bon Secours Pediatric Dental Associates | |
|
6900 Forest Ave Suite 110 Richmond VA 23230-1701 | |
| (804) 893-8715 | |
| (804) 285-1292 |
| Full Name | Bon Secours Pediatric Dental Associates |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6900 Forest Ave, Richmond, Virginia |
| Authorized Official Name and Position | Joseph Hardy (CFO) |
| Authorized Official Contact | 9374782932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours Pediatric Dental Associates 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: () - | Bon Secours Pediatric Dental Associates 6900 Forest Ave Suite 110 Richmond VA 23230-1701 Ph: (804) 893-8715 |
| NPI Number | 1265706188 |
|---|---|
| Provider Enumeration Date | 02/24/2012 |
| Last Update Date | 10/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265706188 | NPI | - | NPPES |
| C06778 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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