# BRUCE W. OVERTON DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dominion Endodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609006865
- **Authorized official:** DR. BRUCE WAYNE OVERTON DDS (PRESIDENT/OWNER)
- **Authorized official phone:** (804) 744-3636

## Contact information

- **Practice address:** 6037 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2160
- **Practice address phone:** (804) 744-3636
- **Practice address fax:** (804) 744-6365
- **Mailing address:** 6037 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2160
- **Mailing address phone:** (804) 744-3636
- **Mailing address fax:** (804) 744-6365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2009
- **Last updated:** 07/22/2009