# HANOVER DENTAL CARE PLLC

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

## Provider details

- **NPI number:** 1124965249
- **Authorized official:** TRACY JOHNSON (PRACTICE MANAGER)
- **Authorized official phone:** (540) 522-9347

## Contact information

- **Practice address:** 16625 MOUNTAIN RD, MONTPELIER, VA 23192-2660
- **Practice address phone:** (804) 544-2499
- **Mailing address:** 16625 MOUNTAIN RD, MONTPELIER, VA 23192-2660
- **Mailing address phone:** (804) 544-2499

## Taxonomy

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

## Other

- **Enumeration date:** 04/29/2026
- **Last updated:** 04/29/2026