# LEONARD I. NUNNALLY DDS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRAL VIRGINIA DENTAL CARE PLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730722620
- **Legal business name:** CENTRAL VIRGINIA DENTAL CARE PLC
- **Authorized official:** DR. LEONARD NUNNALLY III (DENTIST)
- **Authorized official phone:** (804) 747-0908

## Contact information

- **Practice address:** 11531 NUCKOLS RD STE B, GLEN ALLEN, VA 23059-5673
- **Practice address phone:** (804) 747-0908
- **Practice address fax:** (804) 747-1057
- **Mailing address:** 11531 NUCKOLS RD STE B, GLEN ALLEN, VA 23059-5673
- **Mailing address phone:** (804) 747-0908
- **Mailing address fax:** (804) 747-1057

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2019
- **Last updated:** 10/23/2019