Organization
BRIAN P MIDGETTE DDS PC
Active
Other names
Modern Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KIM DAVIS (RCM DIRECTOR)
(703) 568-5773
Entity
Organization
Contact information
Practice address
3326 TAYLOR ROAD, CHESAPEAKE, VA 23321-2518
(757) 483-4700
(757) 483-2359
Mailing address
PO BOX 604468, CHARLOTTE, NC 28260-4468
(757) 483-4700
(757) 483-2359
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401004372
VA
122300000X
Dentist
0401006913
VA
122300000X
Dentist
Primary
0401411578
VA
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
06/09/2026
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