| Petersburg Family Dental Pllc | |
|
21312 Chesterfield Ave South Chesterfield VA 23803-2406 | |
| (804) 615-9682 | |
| Not Available |
| Full Name | Petersburg Family Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21312 Chesterfield Ave, South Chesterfield, Virginia |
| Authorized Official Name and Position | Jim Ervil (DENTIST) |
| Authorized Official Contact | 8046159682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petersburg Family Dental Pllc 21312 Chesterfield Ave South Chesterfield VA 23803-2406 Ph: () - | Petersburg Family Dental Pllc 21312 Chesterfield Ave South Chesterfield VA 23803-2406 Ph: (804) 615-9682 |
| NPI Number | 1558134650 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558134650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |