| Jdm Dental, Plc | |
|
4516 W Hundred Rd Chester VA 23831-1740 | |
| (804) 909-5709 | |
| (804) 748-8053 |
| Full Name | Jdm Dental, Plc |
|---|---|
| Speciality | Dentist |
| Location | 4516 W Hundred Rd, Chester, Virginia |
| Authorized Official Name and Position | Jeffrey D Maurer (DENTIST) |
| Authorized Official Contact | 8047488677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jdm Dental, Plc 4516 W Hundred Rd Chester VA 23831-1740 Ph: (804) 909-5709 | Jdm Dental, Plc 4516 W Hundred Rd Chester VA 23831-1740 Ph: (804) 909-5709 |
| NPI Number | 1154605384 |
|---|---|
| Provider Enumeration Date | 10/06/2011 |
| Last Update Date | 10/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154605384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401411812 (Virginia) | Primary |
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