| Virginia Commonwealth University | |
|
520 N 12th Street Lyons Bldg Room 414 Richmond VA 23298-0566 | |
| (804) 828-2977 | |
| (804) 828-3159 |
| Full Name | Virginia Commonwealth University |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 520 N 12th Street, Richmond, Virginia |
| Authorized Official Name and Position | Alfred Joseph Certosimo (CHAIR, DEPT. OF GENERAL PRACTICE) |
| Authorized Official Contact | 8048282977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Commonwealth University 520 N 12th Street Lyons Bldg Room 414 Richmond VA 23298-0566 Ph: (804) 828-2977 | Virginia Commonwealth University 520 N 12th Street Lyons Bldg Room 414 Richmond VA 23298-0566 Ph: (804) 828-2977 |
| NPI Number | 1639344641 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639344641 | NPI | - | NPPES |
| 153654 | Other | VA | UNITED CONCORDIA |
| 5894 | Medicaid | VA | |
| 453709 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401008264 (Virginia) | 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 | |
Gregory K. Kontopanos, Dds & Associates, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3525 Iron Bridge Rd, Richmond, VA 23234 Phone: 804-275-7477 Fax: 804-275-6313 | |
Larson And Roelofs Family Dentistry Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9327 Midlothian Turnpike, Suite 1a, Richmond, VA 23235 Phone: 804-323-3944 Fax: 804-323-6007 | |
Richmond City Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1517 W Broad St, Richmond, VA 23220 Phone: 804-658-5665 Fax: 804-912-2258 | |
Dr. Jayaraman Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5311 Patterson Ave, Richmond, VA 23226 Phone: 804-282-6665 Fax: 804-288-5875 | |
Rossetti & Myers Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2613 N Parham Rd, Richmond, VA 23294 Phone: 804-747-0090 Fax: 804-270-9461 | |
Edward D Gardner Jr Dds Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8133 Forest Hill Avenue, Suite 201, Richmond, VA 23235 Phone: 804-272-2010 Fax: 804-330-4703 |