# CHARLES J HACKETT JR DDS PC

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

## Provider details

- **NPI number:** 1356408777
- **Authorized official:** DR. CHARLES JEFFERSON HACKETT JR. DDS (PRESIDENT)
- **Authorized official phone:** 80428891111

## Contact information

- **Practice address:** 2928 NORTH AVE, SECOND FLOOR, RICHMOND, VA 23222-3613
- **Practice address phone:** (804) 288-9111
- **Practice address fax:** (804) 288-3759
- **Mailing address:** PO BOX 35072, RICHMOND, VA 23235
- **Mailing address phone:** (804) 288-9111
- **Mailing address fax:** (804) 288-3759

## Taxonomy

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

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 08/22/2020