Organization
MIDGETTE DENTISTRY RVA, PLLC
Active
Other names
Midgette Dentistry, DR Gardner And Associates PLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIM DAVIS (RCM VP)
(703) 568-5773
Entity
Organization
Contact information
Practice address
8133 FOREST HILL AVE STE 201, NORTH CHESTERFIELD, VA 23235-3254
(804) 272-2010
(804) 330-4703
Mailing address
8133 FOREST HILL AVE STE 201, NORTH CHESTERFIELD, VA 23235-3254
(804) 272-2010
(804) 330-4703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004634
VA
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180683
ANTHEM BCBS WELLPOINT
VA
01
—
868458
UNITED CONCORDIA
VA
Enumeration date
12/14/2006
Last updated
05/08/2026
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