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Organization
CHARLOTTESVILLE BLUE RIDGE DENTAL, PLC
Active
Organization
CHARLOTTESVILLE BLUE RIDGE DENTAL, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HUNTER (DIRECTOR OF NETWORK RELATIONS)
(704) 780-4597
Entity
Organization
Contact information
Practice address
2320 COMMONWEALTH DR, CHARLOTTESVILLE, VA 22901-1622
(434) 978-1510
(434) 978-2857
Mailing address
19810 W CATAWBA AVE STE A1, CORNELIUS, NC 28031-4056
(704) 997-8878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
04/09/2026
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