# HUGH TELLER, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871811208
- **Authorized official:** DR. HUGH TELLER DDS (PRESIDENT)
- **Authorized official phone:** (434) 296-4012

## Contact information

- **Practice address:** 2202 N BERKSHIRE RD STE 202, CHARLOTTESVILLE, VA 22901-2761
- **Practice address phone:** (434) 296-4012
- **Practice address fax:** (434) 829-0025
- **Mailing address:** 2202 N BERKSHIRE RD STE 202, CHARLOTTESVILLE, VA 22901-2761
- **Mailing address phone:** (434) 296-4012
- **Mailing address fax:** (434) 829-0025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401007562 | VA | Yes |

## Other

- **Enumeration date:** 05/10/2010
- **Last updated:** 06/01/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1558525493 | NPI | VA |