# RICHARD S VACCA DDS LTD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRAL VIRGINIA DENTAL CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174074256
- **Legal business name:** CENTRAL VIRGINIA DENTAL CARE
- **Authorized official:** DR. RICHARD STEVEN VACCA DDS (DENTIST/OWNER)
- **Authorized official phone:** (804) 739-9191

## Contact information

- **Practice address:** 5921 HARBOUR LN, SUITE 400, MIDLOTHIAN, VA 23112-2158
- **Practice address phone:** (804) 739-9191
- **Practice address fax:** (804) 739-7764
- **Mailing address:** 5921 HARBOUR LN, SUITE 400, MIDLOTHIAN, VA 23112-2158
- **Mailing address phone:** (804) 739-9191
- **Mailing address fax:** (804) 739-7764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 401007459 | VA | Yes |

## Other

- **Enumeration date:** 10/24/2016
- **Last updated:** 10/24/2016