Individual
CYNTHIA HALL DENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2014 GOOSE CREEK RD STE 116, WAYNESBORO, VA 22980-6588
(540) 949-6934
(540) 943-5540
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101039857
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005926475
—
VA
01
—
099633
BLUE CROSS BLUE SHIELD
VA
01
—
1177425
FIRST HEALTH
—
01
—
145080
SOUTHERN HEALTH ID#
VA
01
—
20188
OPTIMA ID#
VA
01
—
242026
BLUE CROSS BLUE SHIELD
VA
01
—
541100071
TAX ID #
VA
01
—
9307949
CIGNA ID#
VA
Enumeration date
05/24/2005
Last updated
07/30/2021
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