# PIEDMONT PEDIATRIC DENTISTRY PLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PIEDMONT PEDIATRIC DENTISTRY PLC
- **Other names:** Piedmont Pediatric Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740613611
- **Legal business name:** PIEDMONT PEDIATRIC DENTISTRY PLC
- **Authorized official:** BARRETT W R PETERS DDS MSD (MEMBER/MANAGER)
- **Authorized official phone:** (434) 973-4344

## Contact information

- **Practice address:** 2520 W MAIN ST, WAYNESBORO, VA 22980-1614
- **Practice address phone:** (540) 943-3315
- **Practice address fax:** (540) 943-1772
- **Mailing address:** 240 HYDRAULIC RIDGE RD, SUITE 203, CHARLOTTESVILLE, VA 22901-8130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401413204 | VA | Yes |

## Other

- **Enumeration date:** 08/15/2013
- **Last updated:** 10/15/2013