# ROBERT N PENTERSON DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRAL VIRGINIA DENTAL CARE
- **Other names:** Penterson and Booth DDS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265983506
- **Legal business name:** CENTRAL VIRGINIA DENTAL CARE
- **Authorized official:** DR. STEPHEN BOOTH D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (804) 426-1070

## Contact information

- **Practice address:** 5954 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
- **Practice address phone:** (804) 739-1600
- **Practice address fax:** (804) 739-9035
- **Mailing address:** 5954 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
- **Mailing address phone:** (804) 739-1600
- **Mailing address fax:** (804) 739-9035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/21/2016
- **Last updated:** 10/21/2016