| Ivy Dental | |
|
2120 Ivy Rd Suite C Charlottesville VA 22903-1736 | |
| (502) 370-6463 | |
| Not Available |
| Full Name | Ivy Dental |
|---|---|
| Speciality | Dentist |
| Location | 2120 Ivy Rd, Charlottesville, Virginia |
| Authorized Official Name and Position | Emily Allison Harding (PRESIDENT) |
| Authorized Official Contact | 5023706463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Dental 2120 Ivy Rd Suite C Charlottesville VA 22903-1736 Ph: (502) 370-6463 | Ivy Dental 2120 Ivy Rd Suite C Charlottesville VA 22903-1736 Ph: (502) 370-6463 |
| NPI Number | 1679956296 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679956296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401413096 (Virginia) | Primary |
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