Individual
DONALD CLAYTON DEVENING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
112 HOUSTON ST, SUITE A, LEXINGTON, VA 24450-2414
(540) 463-2134
(540) 464-9660
Mailing address
112 HOUSTON ST, SUITE A, LEXINGTON, VA 24450-2414
(540) 463-2134
(540) 464-9660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004830
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074717
ANTHEM BCBS
VA
Enumeration date
09/27/2006
Last updated
07/08/2007
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