# CHARLOTTESVILLE DENTAL ASSOCIATES

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

## Provider details

- **NPI number:** 1285297622
- **Authorized official:** OPAL ANDERSON (COO)
- **Authorized official phone:** (434) 296-8043

## Contact information

- **Practice address:** 1227 CEDARS CT, CHARLOTTESVILLE, VA 22903-5801
- **Practice address phone:** (434) 296-8043
- **Mailing address:** 1227 CEDARS CT, CHARLOTTESVILLE, VA 22903-5801

## Taxonomy

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

## Other

- **Enumeration date:** 04/22/2019
- **Last updated:** 07/20/2022