Organization
FREDERICKSBURG ENDODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
10039 PATRIOT HWY, FREDERICKSBURG, VA 22407-9418
(540) 225-1605
Mailing address
10039 PATRIOT HWY, FREDERICKSBURG, VA 22407-9418
(540) 225-1605
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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