# D J BICKERS, DDS, PLC

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

## Provider details

- **NPI number:** 1982896205
- **Authorized official:** DR. DUANE JOSEPH BICKERS D.D.S. (DOCTOR)
- **Authorized official phone:** (434) 984-6400

## Contact information

- **Practice address:** 1101 E JEFFERSON ST, SUITE 5, CHARLOTTESVILLE, VA 22902-5353
- **Practice address phone:** (434) 984-6400
- **Practice address fax:** (434) 984-6408
- **Mailing address:** 1101 E JEFFERSON ST, SUITE 5, CHARLOTTESVILLE, VA 22902-5353
- **Mailing address phone:** (434) 984-6400
- **Mailing address fax:** (434) 984-6408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401008742 | VA | Yes |

## Other

- **Enumeration date:** 08/10/2007
- **Last updated:** 08/10/2007