Organization
CHARLES J HACKETT JR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES JEFFERSON HACKETT JR. DDS (PRESIDENT)
80428891111
Entity
Organization
Contact information
Practice address
2928 NORTH AVE, SECOND FLOOR, RICHMOND, VA 23222-3613
(804) 288-9111
(804) 288-3759
Mailing address
PO BOX 35072, RICHMOND, VA 23235
(804) 288-9111
(804) 288-3759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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