| Greene Co Dental Clinic | |
|
40 Celt Road County Office Building Stanardsville VA 22973 | |
| (434) 985-5217 | |
| Not Available |
| Full Name | Greene Co Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 40 Celt Road, Stanardsville, Virginia |
| Authorized Official Name and Position | Tracy James Morris (DEPUTY COUNTY ADMINISTRATOR FINANCE) |
| Authorized Official Contact | 4349855201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greene Co Dental Clinic Po Box 358 40 Celt Rd Stanardsville VA 22973 Ph: (434) 985-5217 | Greene Co Dental Clinic 40 Celt Road County Office Building Stanardsville VA 22973 Ph: (434) 985-5217 |
| NPI Number | 1972538163 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972538163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401005184 (Virginia) | Primary |