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Organization
PREMIER CARE DENTISTRY OF VIRGINA
Active
Organization
PREMIER CARE DENTISTRY OF VIRGINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SWAIN (CREDENTIALING OPERATIONS MANAGER)
(516) 344-5746
Entity
Organization
Contact information
Practice address
4501 S LABURNUM AVE STE 540, HENRICO, VA 23231-2494
(804) 567-8460
Mailing address
105 MAXESS RD STE 107N, MELVILLE, NY 11747-3859
(631) 414-7927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
Other
Enumeration date
09/29/2026
Last updated
09/29/2026
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