# MIDGETTE DENTISTRY RVA, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midgette Dentistry, DR Gardner And Associates PLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043372345
- **Authorized official:** KIM DAVIS (RCM VP)
- **Authorized official phone:** (703) 568-5773

## Contact information

- **Practice address:** 8133 FOREST HILL AVE STE 201, NORTH CHESTERFIELD, VA 23235-3254
- **Practice address phone:** (804) 272-2010
- **Practice address fax:** (804) 330-4703
- **Mailing address:** 8133 FOREST HILL AVE STE 201, NORTH CHESTERFIELD, VA 23235-3254
- **Mailing address phone:** (804) 272-2010
- **Mailing address fax:** (804) 330-4703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401004634 | VA | Yes |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 05/08/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 180683 | ANTHEM BCBS WELLPOINT | VA |
| 01 | — | 868458 | UNITED CONCORDIA | VA |