| South River Dentistry | |
|
2301 Robious Station Cir Midlothian VA 23113-2124 | |
| (804) 378-7888 | |
| (804) 378-3341 |
| Full Name | South River Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2301 Robious Station Cir, Midlothian, Virginia |
| Authorized Official Name and Position | Jefferson T Blackburn (DENTIST) |
| Authorized Official Contact | 8043787888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South River Dentistry 2301 Robious Station Cir Midlothian VA 23113-2124 Ph: (804) 378-7888 | South River Dentistry 2301 Robious Station Cir Midlothian VA 23113-2124 Ph: (804) 378-7888 |
| NPI Number | 1629278999 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629278999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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