| Commonwealth Dentistry - Chester | |
|
2930 W Hundred Rd Chester VA 23831-2126 | |
| (804) 621-7631 | |
| Not Available |
| Full Name | Commonwealth Dentistry - Chester |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2930 W Hundred Rd, Chester, 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 - Chester Po Box 749632 Atlanta GA 30374-9632 Ph: (919) 585-5205 | Commonwealth Dentistry - Chester 2930 W Hundred Rd Chester VA 23831-2126 Ph: (804) 621-7631 |
| NPI Number | 1992414288 |
|---|---|
| Provider Enumeration Date | 11/16/2022 |
| Last Update Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992414288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Jdm Dental, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4516 W Hundred Rd, Chester, VA 23831 Phone: 804-909-5709 Fax: 804-748-8053 | |
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