Vcu Predoctoral Dental Services Llc | |
520 N 12th St Richmond VA 23298-5064 | |
(804) 828-9190 | |
(804) 628-2001 |
Full Name | Vcu Predoctoral Dental Services Llc |
---|---|
Speciality | Dentist |
Location | 520 N 12th St, Richmond, Virginia |
Authorized Official Name and Position | James Donald Parris (DIRECTOR, PATIENT BUSINESS SERVICES) |
Authorized Official Contact | 8046287146 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vcu Predoctoral Dental Services Llc 521 N 11th St Richmond VA 23298-5016 Ph: (804) 628-7146 | Vcu Predoctoral Dental Services Llc 520 N 12th St Richmond VA 23298-5064 Ph: (804) 828-9190 |
NPI Number | 1477396844 |
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Provider Enumeration Date | 06/14/2024 |
Last Update Date | 06/14/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477396844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Vcu Diagnostic Services Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 520 N 12th St # 315, Richmond, VA 23298 Phone: 804-828-9190 Fax: 804-628-2001 | |
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