# ZELAZNY FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1629190541
- **Authorized official:** DR. LLOYD JAMES ZELAZNY D.D.S. (OWNER-DENTIST)
- **Authorized official phone:** (804) 627-0215

## Contact information

- **Practice address:** 10128 BROOK RD, GLEN ALLEN, VA 23059-6514
- **Practice address phone:** (804) 627-0215
- **Practice address fax:** (804) 627-0217
- **Mailing address:** 10128 BROOK RD, GLEN ALLEN, VA 23059-6514
- **Mailing address phone:** (804) 627-0215
- **Mailing address fax:** (804) 627-0217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401008874 | VA | Yes |
| 1223G0001X | General Practice Dentistry | 0401008890 | VA | — |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/22/2020