| Central Virginia Dental Care Plc | |
|
15871 City View Dr Suite 200 Midlothian VA 23113-7304 | |
| (804) 363-4283 | |
| Not Available |
| Full Name | Central Virginia Dental Care Plc |
|---|---|
| Speciality | Dentist |
| Location | 15871 City View Dr, Midlothian, Virginia |
| Authorized Official Name and Position | Lauri Henderson (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 8043634283 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Virginia Dental Care Plc 15871 City View Dr Suite 200 Midlothian VA 23113-7304 Ph: () - | Central Virginia Dental Care Plc 15871 City View Dr Suite 200 Midlothian VA 23113-7304 Ph: (804) 363-4283 |
| NPI Number | 1063960649 |
|---|---|
| Provider Enumeration Date | 09/13/2016 |
| Last Update Date | 04/27/2022 |
| Medicare PECOS PAC ID | 4082953799 |
|---|---|
| Medicare Enrollment ID | O20200121000199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063960649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Christopher Kondorossy |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184076044 PECOS PAC ID: 5890120828 Enrollment ID: I20200121000265 |
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