# MISSION DENTAL VIRGINIA, INC

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

## Provider details

- **NPI number:** 1639785934
- **Authorized official:** DR. SCOTT MILLER DDS (PROSTHODONTISTS)
- **Authorized official phone:** (276) 466-9800

## Contact information

- **Practice address:** 616 CAMPUS DR STE 100, ABINGDON, VA 24210-9706
- **Practice address phone:** (276) 525-4487
- **Mailing address:** 616 CAMPUS DR STE 100, ABINGDON, VA 24210-9706
- **Mailing address phone:** (276) 525-4487

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2020
- **Last updated:** 09/22/2020