| Short Pumps Dental | |
|
3811 Westerre Pkwy Suite C Henrico VA 23233-1329 | |
| (804) 747-0116 | |
| (804) 747-6881 |
| Full Name | Short Pumps Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3811 Westerre Pkwy, Henrico, Virginia |
| Authorized Official Name and Position | Roman T Haueis (DENTIST / OWNER) |
| Authorized Official Contact | 8047470116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Short Pumps Dental 3811 Westerre Pkwy Suite C Henrico VA 23233-1329 Ph: (804) 747-0116 | Short Pumps Dental 3811 Westerre Pkwy Suite C Henrico VA 23233-1329 Ph: (804) 747-0116 |
| NPI Number | 1114079480 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114079480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401007159 (Virginia) | Primary |
| 1223G0001X | Dentist - General Practice | 0401008563 (Virginia) | Secondary |
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