Individual
DR. ROBERT THAD MACKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12396 WARWICK BLVD, NEWPORT NEWS, VA 23606-3861
(757) 596-7344
(757) 596-7344
Mailing address
12396 WARWICK BLVD, NEWPORT NEWS, VA 23606-3861
(757) 596-7344
(757) 596-7344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3979
VA
Other
Enumeration date
02/06/2007
Last updated
07/24/2007
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