# COMMUNITY DENTAL INC

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

## Provider details

- **NPI number:** 1609104520
- **Authorized official:** RICHARD COTTRELL DDS (PRESIDENT)
- **Authorized official phone:** (540) 498-3190

## Contact information

- **Practice address:** 10246 KINGS HWY, KING GEORGE, VA 22485-3429
- **Practice address phone:** (540) 498-3190
- **Mailing address:** 10246 KINGS HWY, KING GEORGE, VA 22485-3429
- **Mailing address phone:** (540) 498-3190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401008855 | VA | Yes |
| 1223G0001X | General Practice Dentistry | 0401411484 | VA | — |
| 1223G0001X | General Practice Dentistry | 0401412194 | VA | — |

## Other

- **Enumeration date:** 12/04/2009
- **Last updated:** 12/04/2009