| Virginia Sleep & Tmj Therapy, Pllc | |
|
8730 Stony Point Pkwy Suite 240 Richmond VA 23235-1970 | |
| (804) 729-3474 | |
| (804) 729-3480 |
| Full Name | Virginia Sleep & Tmj Therapy, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 8730 Stony Point Pkwy, Richmond, Virginia |
| Authorized Official Name and Position | Rebecca Angus (DENTIST/OWNER) |
| Authorized Official Contact | 8047293474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Sleep & Tmj Therapy, Pllc 8730 Stony Point Pkwy Suite 240 Richmond VA 23235-1970 Ph: (804) 729-3474 | Virginia Sleep & Tmj Therapy, Pllc 8730 Stony Point Pkwy Suite 240 Richmond VA 23235-1970 Ph: (804) 729-3474 |
| NPI Number | 1356704258 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7214214469 |
|---|---|
| Medicare Enrollment ID | O20171215000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356704258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 0401411855 (Virginia) | Secondary |
| Provider Name | Frank L Angus |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1972679728 PECOS PAC ID: 8527249226 Enrollment ID: I20210804001302 |
| Provider Name | Jessica Aylward Vellucci |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1144627571 PECOS PAC ID: 4880099662 Enrollment ID: I20210817000895 |
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