# RUSSELL CLEVELAND DDS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRAL VIRGINIA DENTAL CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467903179
- **Legal business name:** CENTRAL VIRGINIA DENTAL CARE
- **Authorized official:** DR. RUSSELL ALAN CLEVELAND DDS (DENTIST/OWNER)
- **Authorized official phone:** (804) 794-4564

## Contact information

- **Practice address:** 1670 HUGUENOT RD, MIDLOTHIAN, VA 23113-2427
- **Practice address phone:** (804) 794-4564
- **Practice address fax:** (804) 794-9389
- **Mailing address:** 1670 HUGUENOT RD, MIDLOTHIAN, VA 23113-2427
- **Mailing address phone:** (804) 794-4564
- **Mailing address fax:** (804) 794-9389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401006305 | VA | Yes |

## Other

- **Enumeration date:** 10/18/2016
- **Last updated:** 10/18/2016