# DAVID C. CIRCEO D.D.S., P.C.

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740423276
- **Authorized official:** DAVID C. CIRCEO D.D.S. (DENTIST)
- **Authorized official phone:** (804) 262-9824

## Contact information

- **Practice address:** 6113 LAKESIDE AVE, RICHMOND, VA 23228-5236
- **Practice address phone:** (804) 262-9824
- **Practice address fax:** (804) 264-2834
- **Mailing address:** 6113 LAKESIDE AVE, RICHMOND, VA 23228-5236
- **Mailing address phone:** (804) 262-9824
- **Mailing address fax:** (804) 264-2834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401007452 | VA | Yes |

## Other

- **Enumeration date:** 04/14/2009
- **Last updated:** 04/14/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1205955713 | DENTAL OFFIC | VA |