| Southside Orthodontics Ltd | |
|
250 E Ellerslie Ave Colonial Heights VA 23834-0697 | |
| (804) 526-1241 | |
| (804) 520-0546 |
| Full Name | Southside Orthodontics Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 250 E Ellerslie Ave, Colonial Heights, Virginia |
| Authorized Official Name and Position | Ashton Wright Pond (PRESIDENT) |
| Authorized Official Contact | 8045261241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Orthodontics Ltd Po Box 697 250 E Ellerslie Ave Colonial Heights VA 23834-0697 Ph: (804) 526-1241 | Southside Orthodontics Ltd 250 E Ellerslie Ave Colonial Heights VA 23834-0697 Ph: (804) 526-1241 |
| NPI Number | 1407935869 |
|---|---|
| Provider Enumeration Date | 11/04/2006 |
| Last Update Date | 01/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407935869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 401004005 (Virginia) | Primary |
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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 | |
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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 |