Organization
COOKE RICHARDSON & OVERSTREET DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS R OVERSTREET JR. DDS (PARTNER DOCTOR OF DENTAL SCIENCE)
(804) 737-7402
Entity
Organization
Contact information
Practice address
39 W WILLIAMSBURG RD, SANDSTON, VA 23150
(804) 737-7402
(804) 737-5442
Mailing address
39 W WILLIAMSBURG RD, SANDSTON, VA 23150
(804) 737-7402
(804) 737-5442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
983528
UNITED CONCORDIA
VA
Enumeration date
11/30/2006
Last updated
08/22/2020
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