# KAC DENTAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KAC Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528569563
- **Authorized official:** DR. KEVIN CRISCITIELLO (OWNER)
- **Authorized official phone:** (804) 272-2205

## Contact information

- **Practice address:** 7834 FOREST HILL AVE STE 1, RICHMOND, VA 23225-1974
- **Practice address phone:** (804) 272-2205
- **Practice address fax:** (804) 272-2111
- **Mailing address:** 7834 FOREST HILL AVE STE 1, RICHMOND, VA 23225-1974
- **Mailing address phone:** (804) 272-2205
- **Mailing address fax:** (804) 272-2111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 261QD0000X | Dental Clinic/Center | 0401415867 | VA | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 02/26/2018
- **Last updated:** 10/09/2026