| Piedmont Dental At Lake Anna | |
|
5205 Courthouse Rd Suite 201 Spotsylvania VA 22551-6390 | |
| (540) 895-7330 | |
| Not Available |
| Full Name | Piedmont Dental At Lake Anna |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5205 Courthouse Rd, Spotsylvania, Virginia |
| Authorized Official Name and Position | David Michael Clark (PRESIDENT/OWNER) |
| Authorized Official Contact | 5408957330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Dental At Lake Anna 5205 Courthouse Rd Suite 201 Spotsylvania VA 22551-6390 Ph: (540) 895-7330 | Piedmont Dental At Lake Anna 5205 Courthouse Rd Suite 201 Spotsylvania VA 22551-6390 Ph: (540) 895-7330 |
| NPI Number | 1063811503 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 08/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063811503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401411484 (Virginia) | Primary |
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