# MICHAEL R HANLEY DDS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRAL VIRGINIA DENTAL CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558716282
- **Legal business name:** CENTRAL VIRGINIA DENTAL CARE
- **Authorized official:** DR. MICHAEL RAYMOND HANLEY D.D.S. (DENTIST OWNER)
- **Authorized official phone:** (804) 530-3539

## Contact information

- **Practice address:** 13295 RIVERS BEND BLVD, CHESTER, VA 23836-8610
- **Practice address phone:** (804) 530-3539
- **Practice address fax:** (804) 530-5617
- **Mailing address:** 13295 RIVERS BEND BLVD, CHESTER, VA 23836-8610
- **Mailing address phone:** (804) 530-3539
- **Mailing address fax:** (804) 530-5617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401006683 | VA | Yes |

## Other

- **Enumeration date:** 05/02/2016
- **Last updated:** 01/19/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9179583 | — | VA |