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Organization

LYNCHBURG PERIODONTICS PLLC

Active
Other names
Periodontal Health Associates PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN CHRISTOPHER ANDERSON DDS (PRESIDENT)
(434) 455-2444
Entity
Organization

Contact information

Practice address
525 LEESVILLE RD, LYNCHBURG, VA 24502-2328
(434) 455-2444
(434) 237-2050
Mailing address
525 LEESVILLE RD, LYNCHBURG, VA 24502-2328
(434) 455-2444
(434) 237-2050

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1912578626
PERIODONTIST
VA
01
1942349329
PERIODONTIST
VA
Enumeration date
12/04/2024
Last updated
12/04/2024
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