# CHARLOTTESVILLE-ALBEMARLE DENTAL CLINIC

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

## Provider details

- **NPI number:** 1497870406
- **Authorized official:** DR. LILIAN R PEAKE MD (DIRECTOR)
- **Authorized official phone:** (434) 972-6219

## Contact information

- **Practice address:** 1138 ROSE HILL DR, CHARLOTTESVILLE, VA 22903-5128
- **Practice address phone:** (434) 972-2625
- **Practice address fax:** (434) 972-4310
- **Mailing address:** PO BOX 7546, CHARLOTTESVILLE, VA 22906-7546
- **Mailing address phone:** (434) 972-6219
- **Mailing address fax:** (434) 972-4310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 08/22/2020