# LORI B MUSICK DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Richlands Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184920100
- **Authorized official:** LORI B MUSICK DDS (OWNER DENTIST)
- **Authorized official phone:** (276) 964-7418

## Contact information

- **Practice address:** 107 TAZEWELL AVE, RICHLANDS, VA 24641-2250
- **Practice address phone:** (276) 964-7418
- **Practice address fax:** (276) 964-6465
- **Mailing address:** 107 TAZEWELL AVE, RICHLANDS, VA 24641-2250
- **Mailing address phone:** (276) 964-7418
- **Mailing address fax:** (276) 964-6465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401411850 | VA | Yes |

## Other

- **Enumeration date:** 02/09/2011
- **Last updated:** 02/09/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1164622189 | INDIVIDUAL NPI | VA |