|
| |
|
100 Parkside Dr Bridgewater VA 22812-1755 | |
| (540) 828-3518 | |
| (540) 828-6667 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Parkside Dr, Bridgewater, Virginia |
| Authorized Official Name and Position | Glen R Miller (DOCTOR/PRESIDENT) |
| Authorized Official Contact | 5408283518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 Parkside Dr Bridgewater VA 22812-1755 Ph: (540) 828-3518 | 100 Parkside Dr Bridgewater VA 22812-1755 Ph: (540) 828-3518 |
| NPI Number | 1437489135 |
|---|---|
| Provider Enumeration Date | 01/04/2010 |
| Last Update Date | 01/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437489135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Mcintyre & Whiting Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Oakwood Dr, Bridgewater, VA 22812 Phone: 540-828-2312 | |