| Charles J Hackett Jr Dds Pc | |
|
2928 North Ave Second Floor Richmond VA 23222-3613 | |
| (804) 288-9111 | |
| (804) 288-3759 |
| Full Name | Charles J Hackett Jr Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2928 North Ave, Richmond, Virginia |
| Authorized Official Name and Position | Charles Jefferson Hackett (PRESIDENT) |
| Authorized Official Contact | 80428891111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles J Hackett Jr Dds Pc Po Box 35072 Richmond VA 23235 Ph: (804) 288-9111 | Charles J Hackett Jr Dds Pc 2928 North Ave Second Floor Richmond VA 23222-3613 Ph: (804) 288-9111 |
| NPI Number | 1356408777 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356408777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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