# POWHATAN GENTLE DENTISTRY PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043630569
- **Authorized official:** DR. GENEVIEVE DEVERA (DENTIST AND OWNER)
- **Authorized official phone:** (804) 598-8951

## Contact information

- **Practice address:** 2105 ACADEMY RD, UNIT J, POWHATAN, VA 23139-5829
- **Practice address phone:** (804) 598-8951
- **Practice address fax:** (804) 598-7527
- **Mailing address:** 2105 ACADEMY RD, UNIT J, POWHATAN, VA 23139-5829
- **Mailing address phone:** (804) 598-8951
- **Mailing address fax:** (804) 598-7527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401410103 | VA | Yes |

## Other

- **Enumeration date:** 04/23/2014
- **Last updated:** 05/01/2014