Organization
SYCAMORE FAMILY DENTISTRY
Active
Parent organization
CENTRAL VIRGINIA DENTAL CARE PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VIRGINIA DENTAL CARE PLC
Authorized official
DR. JACOB SHEPPARD DDS (OWNER DENTIST)
(804) 379-7864
Entity
Organization
Contact information
Practice address
1165 JEFFERSON GREEN CIR, MIDLOTHIAN, VA 23113-4300
(804) 379-7864
(804) 379-4295
Mailing address
1165 JEFFERSON GREEN CIR, MIDLOTHIAN, VA 23113-4300
(804) 379-7864
(804) 379-4295
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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