Individual
DR. GREGORY TODD HUTCHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
112 E. BLUE RIDGE ST., STUART, VA 24171-0705
(276) 694-3177
(276) 694-4439
Mailing address
PO BOX 705, 112 E. BLUE RIDGE ST., STUART, VA 24171-0705
(276) 694-3177
(276) 694-4439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007793
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045494
BLUE CROSS (ANTHEM)
VA
Enumeration date
10/10/2006
Last updated
07/08/2007
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