# VCU PREDOCTORAL DENTAL SERVICES LLC

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

## Provider details

- **NPI number:** 1477396844
- **Authorized official:** MR. JAMES DONALD PARRIS (DIRECTOR, PATIENT BUSINESS SERVICES)
- **Authorized official phone:** (804) 628-7146

## Contact information

- **Practice address:** 520 N 12TH ST, RICHMOND, VA 23298-5064
- **Practice address phone:** (804) 828-9190
- **Practice address fax:** (804) 628-2001
- **Mailing address:** 521 N 11TH ST, RICHMOND, VA 23298-5016
- **Mailing address phone:** (804) 628-7146
- **Mailing address fax:** (804) 628-2001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2024
- **Last updated:** 06/14/2024