# PKS DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1992260681
- **Authorized official:** DR. PAMELA KATHLEEN STOVER-MEJIAS (OWNER)
- **Authorized official phone:** (434) 973-7744

## Contact information

- **Practice address:** 1522 INSURANCE LN STE B, CHARLOTTESVILLE, VA 22911-7229
- **Practice address phone:** (434) 973-7744
- **Practice address fax:** (434) 975-0250
- **Mailing address:** 1522 INSURANCE LN STE B, CHARLOTTESVILLE, VA 22911-7229
- **Mailing address phone:** (434) 973-7744
- **Mailing address fax:** (434) 975-0250

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2019
- **Last updated:** 02/06/2019