# COLONIAL FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1265187488
- **Authorized official:** DONNA R JOHNSON (GENERAL MANAGER)
- **Authorized official phone:** (757) 357-4121

## Contact information

- **Practice address:** 1161 PROFESSIONAL DR, WILLIAMSBURG, VA 23185-3329
- **Practice address phone:** (757) 357-4121
- **Mailing address:** 1210 CRESCENT DR, SMITHFIELD, VA 23430-1851
- **Mailing address phone:** (757) 357-4121

## Taxonomy

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

## Other

- **Enumeration date:** 02/16/2022
- **Last updated:** 02/16/2022