Organization
MOUNT JACKSON DENTAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE DEAVERS (OFFICE MANAGER)
(540) 477-2901
Entity
Organization
Contact information
Practice address
5338 MAIN STREET, MOUNT JACKSON, VA 22842
(540) 477-2901
(540) 477-2901
Mailing address
5338 MAIN STREET, MOUNT JACKSON, VA 22842
(540) 477-2901
(540) 477-2935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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