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Organization

GREENE FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN H. KNIGHT JR. D.D.S. (DENTIST/ OWNER)
(434) 293-9793
Entity
Organization

Contact information

Practice address
140 STONERIDGE DR, SUITE200, RUCKERSVILLE, VA 22968-3096
(434) 985-1052
(434) 990-2066
Mailing address
140 STONERIDGE DR, SUITE200, RUCKERSVILLE, VA 22968-3096
(434) 985-1052
(434) 990-2066

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410495
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
26-3934257
VA
Enumeration date
06/04/2009
Last updated
06/04/2009
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