Individual
MR. JERRY WAYNE ADDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
112 FALCON DRIVE, FREDERICKSBURG, VA 22408
(540) 898-8194
(540) 898-6334
Mailing address
12030 PARKER LANE, LOCUST GROVE, VA 22508
(540) 972-2414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005046
VA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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