# BRUSH UP DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRUSH UP DENTAL PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871148775
- **Legal business name:** BRUSH UP DENTAL PC
- **Authorized official:** DR. JASON TODD LIPSCOMB DDS (DENTIST/OWNER)
- **Authorized official phone:** (804) 673-5280

## Contact information

- **Practice address:** 7300 COSBY VILLAGE RD, CHESTERFIELD, VA 23832-1939
- **Practice address phone:** (804) 821-0070
- **Mailing address:** 7000 FOREST AVE STE 800, RICHMOND, VA 23230-1737
- **Mailing address phone:** (804) 673-5280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/07/2019
- **Last updated:** 08/07/2019