Organization
BRIAN MIDGETTE, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN P. MIDGETTE DDS (OWNER)
(757) 773-2122
Entity
Organization
Contact information
Practice address
8804 PATTERSON AVE STE 100, RICHMOND, VA 23229-6361
(804) 740-7212
Mailing address
8804 PATTERSON AVE STE 100, RICHMOND, VA 23229-6361
(804) 740-7212
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033246210
NPI
VA
Enumeration date
06/18/2020
Last updated
06/18/2020
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