# RICHARD COTTRELL DDS PC

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

## Provider details

- **NPI number:** 1538242151
- **Authorized official:** RICHARD WAYNE COTTRELL DDS (PRESIDENT)
- **Authorized official phone:** (540) 775-7671

## Contact information

- **Practice address:** 11060 SMILE WAY, KING GEORGE, VA 22485-3470
- **Practice address phone:** (540) 775-7671
- **Practice address fax:** (540) 775-0626
- **Mailing address:** 11060 SMILE WAY, KING GEORGE, VA 22485-3470
- **Mailing address phone:** (540) 775-7671
- **Mailing address fax:** (540) 775-0626

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/03/2012