| Northside Dental Co. | |
|
3404 Hermitage Rd Richmond VA 23227-4307 | |
| (804) 477-4210 | |
| Not Available |
| Full Name | Northside Dental Co. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3404 Hermitage Rd, Richmond, Virginia |
| Authorized Official Name and Position | Katelin Heim (OFFICE MANAGER) |
| Authorized Official Contact | 8047673410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Dental Co. 3404 Hermitage Rd Richmond VA 23227-4307 Ph: (804) 767-3410 | Northside Dental Co. 3404 Hermitage Rd Richmond VA 23227-4307 Ph: (804) 477-4210 |
| NPI Number | 1285264887 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 07/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285264887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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