Organization
MARTHA DAWSON DDS PLC
Active
Other names
Children's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA ALLEN DAWSON DDS (OWNER)
(804) 321-6800
Entity
Organization
Contact information
Practice address
4025 MECHANICSVILLE TURNPIKE, RICHMOND, VA 23223
(804) 321-6800
(804) 321-8800
Mailing address
4025 MECHANICSVILLE TURNPIKE, RICHMOND, VA 23223
(804) 321-6800
(804) 321-8800
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
461803
ANTHEM-GROUP #
VA
Enumeration date
08/31/2006
Last updated
08/22/2020
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