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Organization
MIDGETTE DENTISTRY RVA, PLLC
Active
Organization
MIDGETTE DENTISTRY RVA, PLLC
Active
Other names
Midgette Dentistry, DR Gardner And Associates PLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIM DAVIS (RCM VP)
(703) 568-5773
Entity
Organization
Contact information
Practice address
8133 FOREST HILL AVE STE 201, NORTH CHESTERFIELD, VA 23235-3254
(804) 272-2010
(804) 330-4703
Mailing address
8133 FOREST HILL AVE STE 201, NORTH CHESTERFIELD, VA 23235-3254
(804) 272-2010
(804) 330-4703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004634
VA
1223G0001X
General Practice Dentistry
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180683
ANTHEM BCBS WELLPOINT
VA
01
—
868458
UNITED CONCORDIA
VA
Enumeration date
12/14/2006
Last updated
05/08/2026
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