Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Other names
Dental Care of Lightfoot
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-8426
Entity
Organization
Contact information
Practice address
6399 RICHMOND RD STE 101, WILLIAMSBURG, VA 23188-1729
(757) 707-1610
(757) 345-3524
Mailing address
6399 RICHMOND RD STE 101, WILLIAMSBURG, VA 23188-1729
(757) 707-8018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
12/20/2018
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