Individual
MR. JOHN ARTHUR SVIRSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-5064
(804) 828-3630
Mailing address
PO BOX 980566, RICHMOND, VA 23298-0566
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
0401004495
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179972
ANTHEM ID NUMBER
VA
01
—
P00291863
RAILROAD MEDICARE
—
Enumeration date
04/10/2006
Last updated
01/14/2014
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