Organization
CHARLOTTESVILLE BLUE RIDGE DENTAL, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HUNTER (DIRECTOR OF NETWORK RELATIONS)
(704) 780-4597
Entity
Organization
Contact information
Practice address
2320 COMMONWEALTH DR, CHARLOTTESVILLE, VA 22901-1622
(434) 978-1510
(434) 978-2857
Mailing address
19810 W CATAWBA AVE STE A1, CORNELIUS, NC 28031-4056
(704) 997-8878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
04/09/2026
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