| Tranquility Dental Center Pllc | |
|
2557 Cowan Blvd Fredericksburg VA 22401-8440 | |
| (540) 551-5550 | |
| Not Available |
| Full Name | Tranquility Dental Center Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2557 Cowan Blvd, Fredericksburg, Virginia |
| Authorized Official Name and Position | Tasha Willoughby (OWNE) |
| Authorized Official Contact | 5405515550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquility Dental Center Pllc 2557 Cowan Blvd Fredericksburg VA 22401-8440 Ph: (540) 551-5550 | Tranquility Dental Center Pllc 2557 Cowan Blvd Fredericksburg VA 22401-8440 Ph: (540) 551-5550 |
| NPI Number | 1255739579 |
|---|---|
| Provider Enumeration Date | 12/18/2014 |
| Last Update Date | 08/29/2023 |
| Medicare PECOS PAC ID | 1355784638 |
|---|---|
| Medicare Enrollment ID | O20240205001341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255739579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401411109 (Virginia) | Primary |
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