Organization
RAPPAHANNOCK AREA HEALTH DISTRICT
Active
Other names
Moss Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JANE KRAKOWSKY (BUSINESS MANAGER)
(540) 899-4797
Entity
Organization
Contact information
Practice address
435 HUNTER ST, FREDERICKSBURG, VA 22401-3434
(540) 741-1061
Mailing address
608 JACKSON ST, FREDERICKSBURG, VA 22401-5719
(540) 899-4797
(540) 899-4599
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104961
DORAL
VA
01
—
144856
ANTHEM-MILLER
VA
01
—
145079
ANTHEM-HANSEN
VA
Enumeration date
08/22/2006
Last updated
08/22/2020
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