# PROGRESSIVE DENTAL OF FREDERICKSBURG

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

## Provider details

- **NPI number:** 1518372283
- **Authorized official:** DR. BRIAN MCAVOY (DENTIST OWNER)
- **Authorized official phone:** (540) 785-3733

## Contact information

- **Practice address:** 1239 CENTRAL PARK BLVD, FREDERICKSBURG, VA 22401-1003
- **Practice address phone:** (434) 851-8835
- **Mailing address:** 1239 CENTRAL PARK BLVD, FREDERICKSBURG, VA 22401-4912
- **Mailing address phone:** (540) 785-3733
- **Mailing address fax:** (540) 785-0939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401006911 | VA | Yes |

## Other

- **Enumeration date:** 06/21/2014
- **Last updated:** 08/11/2014