# ROBERT N. PENTERSON, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Penterson and Booth, DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891905923
- **Authorized official:** DR. STEPHEN CLARENCE BOOTH DDS (TREASURER)
- **Authorized official phone:** (804) 739-1600

## Contact information

- **Practice address:** 5954 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
- **Practice address phone:** (804) 739-1600
- **Practice address fax:** (804) 739-9035
- **Mailing address:** 5954 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
- **Mailing address phone:** (804) 739-1600
- **Mailing address fax:** (804) 739-9035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401411024 | VA | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 07/01/2014