| Carla L Chavez-mayorga, DDS | |
|
1222 Jefferson Park Ave, Charlottesville, VA 22903-3410 | |
| (434) 924-1774 | |
| (434) 243-6378 |
| Full Name | Carla L Chavez-mayorga |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 1222 Jefferson Park Ave, Charlottesville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760809354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401411881 (Virginia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | University Of Virginia Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Carla L Chavez-mayorga, DDS Po Box 9007, Charlottesville, VA 22906-9007 Ph: () - | Carla L Chavez-mayorga, DDS 1222 Jefferson Park Ave, Charlottesville, VA 22903-3410 Ph: (434) 924-1774 |
Dr. Sarah Nicole Grupp, DMD, MMS Dentist Medicare: Not Enrolled in Medicare Practice Location: 944 Glenwood Station Ln Ste 203, Charlottesville, VA 22901 Phone: 434-973-7011 | |
Dr. William Joseph Viglione, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3025 Berkmar Dr, Viglione Haines And Associates, Charlottesville, VA 22901 Phone: 434-973-4355 Fax: 434-973-8079 | |
Dr. Christine Adhiambo Owuor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 Hickman Rd, Suite 101, Charlottesville, VA 22911 Phone: 434-973-2520 Fax: 434-974-9497 | |
Sayward E Duggan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1222 Jefferson Park Ave, Charlottesville, VA 22903 Phone: 434-924-1774 Fax: 434-243-6378 | |
Dr. James Paul Soderquist, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1101 E Jefferson St, Charlottesville, VA 22902 Phone: 434-971-9601 Fax: 434-971-9646 | |
Dr. Lawrence Sherrill Brannon, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 683 Berkmar Ct, Charlottesville, VA 22901 Phone: 434-974-4555 Fax: 434-974-4558 | |
Dr. Holly Todd Legg, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 320 Winding River Ln, Suite 201, Charlottesville, VA 22911 Phone: 434-984-6400 |