| Piedmont Pediatric Dentistry | |
|
2520 W Main St Waynesboro VA 22980-1614 | |
| (540) 943-3315 | |
| (540) 943-1772 |
| Full Name | Piedmont Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2520 W Main St, Waynesboro, Virginia |
| Authorized Official Name and Position | Barrett W R Peters (MEMBER/MANAGER) |
| Authorized Official Contact | 4349734344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Pediatric Dentistry 240 Hydraulic Ridge Rd Suite 203 Charlottesville VA 22901-8130 Ph: () - | Piedmont Pediatric Dentistry 2520 W Main St Waynesboro VA 22980-1614 Ph: (540) 943-3315 |
| NPI Number | 1740613611 |
|---|---|
| Provider Enumeration Date | 08/15/2013 |
| Last Update Date | 10/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740613611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401413204 (Virginia) | Primary |
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