# PREMIER CARE DENTISTRY OF VIRGINA

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

## Provider details

- **NPI number:** 1619881596
- **Authorized official:** ANGELA SWAIN (CREDENTIALING OPERATIONS MANAGER)
- **Authorized official phone:** (516) 344-5746

## Contact information

- **Practice address:** 4501 S LABURNUM AVE STE 540, HENRICO, VA 23231-2494
- **Practice address phone:** (804) 567-8460
- **Mailing address:** 105 MAXESS RD STE 107N, MELVILLE, NY 11747-3859
- **Mailing address phone:** (631) 414-7927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2026
- **Last updated:** 09/29/2026