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Organization
KAC DENTAL, PC
Active
Organization
KAC DENTAL, PC
Active
Other names
KAC Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN CRISCITIELLO (OWNER)
(804) 272-2205
Entity
Organization
Contact information
Practice address
7834 FOREST HILL AVE STE 1, RICHMOND, VA 23225-1974
(804) 272-2205
(804) 272-2111
Mailing address
7834 FOREST HILL AVE STE 1, RICHMOND, VA 23225-1974
(804) 272-2205
(804) 272-2111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
261QD0000X
Dental Clinic/Center
Primary
0401415867
VA
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
02/26/2018
Last updated
10/09/2026
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