# BRIAN P MIDGETTE DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Modern Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649307836
- **Authorized official:** KIM DAVIS (RCM DIRECTOR)
- **Authorized official phone:** (703) 568-5773

## Contact information

- **Practice address:** 3326 TAYLOR ROAD, CHESAPEAKE, VA 23321-2518
- **Practice address phone:** (757) 483-4700
- **Practice address fax:** (757) 483-2359
- **Mailing address:** PO BOX 604468, CHARLOTTE, NC 28260-4468
- **Mailing address phone:** (757) 483-4700
- **Mailing address fax:** (757) 483-2359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401004372 | VA | — |
| 122300000X | Dentist | 0401006913 | VA | — |
| 122300000X | Dentist | 0401411578 | VA | Yes |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 06/09/2026