# CHARLES P. JEWETT, D.D.S.

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

## Provider details

- **NPI number:** 1518419928
- **Legal business name:** CENTRAL VIRGINIA DENTAL CARE
- **Authorized official:** DR. CHARLES P JEWETT DDS (DENTIST/OWNER)
- **Authorized official phone:** (804) 272-2955

## Contact information

- **Practice address:** 9021 FOREST HILL AVE, SUITE D1, NORTH CHESTERFIELD, VA 23235-3053
- **Practice address phone:** (804) 272-2955
- **Mailing address:** 9021 FOREST HILL AVE, SUITE D1, NORTH CHESTERFIELD, VA 23235-3053
- **Mailing address phone:** (804) 272-2955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2016
- **Last updated:** 11/01/2016