| Commonwealth Dentistry - Kenbridge | |
|
202 E 5th Ave Kenbridge VA 23944-2040 | |
| (434) 676-8023 | |
| Not Available |
| Full Name | Commonwealth Dentistry - Kenbridge |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 202 E 5th Ave, Kenbridge, 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 - Kenbridge Po Box 749632 Atlanta GA 30374-9632 Ph: (919) 439-3331 | Commonwealth Dentistry - Kenbridge 202 E 5th Ave Kenbridge VA 23944-2040 Ph: (434) 676-8023 |
| NPI Number | 1598429680 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598429680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
William Irby Jr Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 S. Broad St., Kenbridge, VA 23944 Phone: 434-676-8001 Fax: 434-676-8002 |