Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
RIVERSIDE DENTAL, PLLC
Active
Organization
RIVERSIDE DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHUTONG HARTSELL DMD (OWNER)
(703) 740-8978
Entity
Organization
Contact information
Practice address
3400 S CLARK ST STE 105, ARLINGTON, VA 22202-4050
(703) 740-8978
(571) 464-6588
Mailing address
6161 FOXCROFT RD, ALEXANDRIA, VA 22307-1103
(828) 719-5723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/16/2022
Last updated
01/16/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers