| Commonwealth Dentistry - Crewe | |
|
600 W Virginia Ave Crewe VA 23930-1115 | |
| (434) 645-7558 | |
| Not Available |
| Full Name | Commonwealth Dentistry - Crewe |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 600 W Virginia Ave, Crewe, Virginia |
| Authorized Official Name and Position | Michael Riccobene (OWNER) |
| Authorized Official Contact | 9108536172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Dentistry - Crewe Po Box 749632 Atlanta GA 30374-9632 Ph: () - | Commonwealth Dentistry - Crewe 600 W Virginia Ave Crewe VA 23930-1115 Ph: (434) 645-7558 |
| NPI Number | 1336803428 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336803428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
William L. Thomas Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Mason St, Crewe, VA 23930 Phone: 434-645-9602 Fax: 434-645-2029 |