| Spotsylvania Dental | |
|
9104 Courthouse Rd Spotsylvania VA 22553-1902 | |
| (540) 582-7350 | |
| Not Available |
| Full Name | Spotsylvania Dental |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 9104 Courthouse Rd, Spotsylvania, Virginia |
| Authorized Official Name and Position | Jane Krakowsky (BUSINESS MANAGER) |
| Authorized Official Contact | 5408994797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spotsylvania Dental 608 Jackson St Fredericksburg VA 22401-5719 Ph: (540) 899-4797 | Spotsylvania Dental 9104 Courthouse Rd Spotsylvania VA 22553-1902 Ph: (540) 582-7350 |
| NPI Number | 1033120159 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 08/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033120159 | NPI | - | NPPES |
| 104797 | Other | VA | DORAL |
| 142978 | Other | VA | ANTHEM-COLE |
| 144860 | Other | VA | ANTHEM-MILLER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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