# RIVER RUN DENTAL OF GREENBRIER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Restorative, Cosmetic & Implant Dentistry PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679430417
- **Authorized official:** KIM DAVIS (RCM DIRECTOR)
- **Authorized official phone:** (703) 568-5773

## Contact information

- **Practice address:** 560 KEMPSVILLE RD STE 200, CHESAPEAKE, VA 23320-3603
- **Practice address phone:** (757) 241-5735
- **Mailing address:** PO BOX 604465, CHARLOTTE, NC 28260-4465
- **Mailing address phone:** (757) 241-5735

## Taxonomy

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

## Other

- **Enumeration date:** 01/05/2026
- **Last updated:** 08/19/2026