# USA DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brilliance Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699416024
- **Authorized official:** JANE HAMMOND (INSURANCE ADMINISTRATOR)
- **Authorized official phone:** (404) 277-9891

## Contact information

- **Practice address:** 9137 COURTHOUSE RD STE 100, SPOTSYLVANIA, VA 22553-1969
- **Practice address phone:** (540) 582-6847
- **Mailing address:** 9137 COURTHOUSE RD STE 100, SPOTSYLVANIA, VA 22553-1969
- **Mailing address phone:** (540) 582-6847

## Taxonomy

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

## Other

- **Enumeration date:** 04/07/2022
- **Last updated:** 04/07/2022