| Commonwealth Specialty - Colonial Heights | |
|
456 Charles H Dimmock Pkwy Ste 5 Colonial Heights VA 23834-2936 | |
| (804) 520-4288 | |
| Not Available |
| Full Name | Commonwealth Specialty - Colonial Heights |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 456 Charles H Dimmock Pkwy Ste 5, Colonial Heights, 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 Specialty - Colonial Heights Po Box 749632 Atlanta GA 30374-9632 Ph: (919) 585-5205 | Commonwealth Specialty - Colonial Heights 456 Charles H Dimmock Pkwy Ste 5 Colonial Heights VA 23834-2936 Ph: (804) 520-4288 |
| NPI Number | 1477327732 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477327732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
Colonial Heights Dental Care, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2018 Boulevard, Colonial Heights, VA 23834 Phone: 804-520-1741 Fax: 804-520-4750 | |
Commonwealth Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 456 Charles H Dimmock Pkwy, Suite 5, Colonial Heights, VA 23834 Phone: 804-520-4088 | |
Riccobene & Associates Cc, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 456 Charles H Dimmock Pkwy Ste 9, Colonial Heights, VA 23834 Phone: 804-520-7292 Fax: 804-518-0237 | |
Southside Endodontics, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2425 Boulevard, Suite 8, Colonial Heights, VA 23834 Phone: 804-520-0000 Fax: 804-520-2111 | |
Commonwealth Orthodontics Colonial Heights Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 456 Charles H Dimmock Pkwy Ste 9, Colonial Heights, VA 23834 Phone: 804-520-7292 | |
Dentistry By Design Colonial Heights Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 241 Charles H Dimmock Pkwy Ste 2, Colonial Heights, VA 23834 Phone: 804-520-0699 | |
Ji Managment Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 798 South Park Blvd, Suite 12, Colonial Heights, VA 23834 Phone: 804-520-6050 Fax: 804-520-9140 |