# BELLGRADE DENTAL CENTER PLC

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

## Provider details

- **NPI number:** 1417977265
- **Authorized official:** SCOTT THEWS DDS (DOCTOR/OWNER)
- **Authorized official phone:** (804) 794-6900

## Contact information

- **Practice address:** 2611 PROMENADE PKWY, MIDLOTHIAN, VA 23113-1431
- **Practice address phone:** (804) 794-6900
- **Practice address fax:** (804) 794-7974
- **Mailing address:** 2611 PROMENADE PKWY, MIDLOTHIAN, VA 23113-1431
- **Mailing address phone:** (804) 794-6900
- **Mailing address fax:** (804) 794-7974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4252 & 0401411077 | VA | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 03/07/2023
