# PIEDMONT REGIONAL DENTAL CLINIC INC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1114225091
- **Authorized official:** MR. ANDRE HINTERMANN (PRESIDENT, BOARD OF DIRECTORS)
- **Authorized official phone:** (540) 661-0008

## Contact information

- **Practice address:** 13296 JAMES MADISON HWY, ORANGE, VA 22960-2810
- **Practice address phone:** (540) 661-0008
- **Mailing address:** PO BOX 151, ORANGE, VA 22960-0087
- **Mailing address phone:** (540) 661-0008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/02/2011
- **Last updated:** 03/02/2011
