| Central Virginia Dental Care Plc | |
|
1206 Pondola Ln South Chesterfield VA 23834-1636 | |
| (804) 897-3600 | |
| Not Available |
| Full Name | Central Virginia Dental Care Plc |
|---|---|
| Speciality | Dentist |
| Location | 1206 Pondola Ln, South Chesterfield, 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 1206 Pondola Ln South Chesterfield VA 23834-1636 Ph: (804) 897-3600 | Central Virginia Dental Care Plc 1206 Pondola Ln South Chesterfield VA 23834-1636 Ph: (804) 897-3600 |
| NPI Number | 1063960649 |
|---|---|
| Provider Enumeration Date | 09/13/2016 |
| Last Update Date | 09/16/2024 |
| 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 |
Petersburg Family Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21312 Chesterfield Ave, South Chesterfield, VA 23803 Phone: 804-615-9682 |