# PROGRESSIVE DENTAL OF MECHANICSVILLE PC

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

## Provider details

- **NPI number:** 1992173520
- **Authorized official:** DR. BRIAN J MCAVOY DDS (OWNER)
- **Authorized official phone:** (804) 730-1773

## Contact information

- **Practice address:** 8417 NORTH RUN MEDICAL DRIVE, MECHANICSVILLE, VA 23116
- **Practice address phone:** (804) 730-1773
- **Mailing address:** 8417 NORTH RUN MEDICAL DRIVE, MECHANICSVILLE, VA 23116
- **Mailing address phone:** (804) 730-1773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401006911 | VA | Yes |

## Other

- **Enumeration date:** 09/14/2015
- **Last updated:** 09/14/2015