| Commonwealth Dentistry - Ashland | |
|
130 Thompson St Ste I Ashland VA 23005-1526 | |
| (804) 798-2776 | |
| Not Available |
| Full Name | Commonwealth Dentistry - Ashland |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 130 Thompson St Ste I, Ashland, Virginia |
| Authorized Official Name and Position | Michael Riccobene (CEO) |
| Authorized Official Contact | 9108536172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Dentistry - Ashland Po Box 749632 Atlanta GA 30374-9632 Ph: (919) 585-5205 | Commonwealth Dentistry - Ashland 130 Thompson St Ste I Ashland VA 23005-1526 Ph: (804) 798-2776 |
| NPI Number | 1356106975 |
|---|---|
| Provider Enumeration Date | 02/14/2024 |
| Last Update Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356106975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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