Organization
RIVER RUN DENTAL OF SEMINOLE TRAIL PLLC
Active
Other names
River Run Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KIM DAVIS (RCM DIRECTOR)
(703) 568-5773
Entity
Organization
Contact information
Practice address
1461 GREENBRIER PL, CHARLOTTESVILLE, VA 22901-1697
(434) 337-0515
Mailing address
1461 GREENBRIER PL, CHARLOTTESVILLE, VA 22901-1697
(434) 337-0515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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