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Organization

DANVILLE DENTAL ASSOCIATES, PC

Active
Parent organization
DANVILLE DENTAL ASSOCIATES, PC
Other names
Danville Dental Associates RSLL
Organization subpart
Yes

Provider details

NPI number
Legal business name
DANVILLE DENTAL ASSOCIATES, PC
Authorized official
DR. CHRISTOPHER A PAYNE DDS (DENTIST)
(434) 822-1332
Entity
Organization

Contact information

Practice address
5011 RIVERSIDE DR STE B, DANVILLE, VA 24541-5642
(434) 822-1332
(434) 822-1336
Mailing address
5011 RIVERSIDE DR STE B, DANVILLE, VA 24541-5642
(434) 822-1332
(434) 822-1336

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410725
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1770583106
NPI
VA
Enumeration date
04/11/2018
Last updated
08/09/2019
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