Individual
DR. CHARLES JEFFERSON HACKETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1807 LIBBIE AVE STE 100, RICHMOND, VA 23226-1837
(804) 288-9111
(804) 288-3759
Mailing address
PO BOX 35072, RICHMOND, VA 23235-0072
(804) 288-9111
(804) 288-3759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007688
VA
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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