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Organization
RIVER RUN DENTAL OF SEMINOLE TRAIL PLLC
Active
Organization
RIVER RUN DENTAL OF SEMINOLE TRAIL PLLC
Active
Other names
River Run Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KIM DAVIS (RCM DIRECTOR)
(703) 568-5773
Entity
Organization
Contact information
Practice address
1461 GREENBRIER PL, CHARLOTTESVILLE, VA 22901-1697
(434) 337-0515
Mailing address
1461 GREENBRIER PL, CHARLOTTESVILLE, VA 22901-1697
(434) 337-0515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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