Organization
TREMAYNE RICHARD DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREMAYNE RICHARD DDS (OWNER)
(434) 480-6526
Entity
Organization
Contact information
Practice address
3615 OLD FOREST RD, LYNCHBURG, VA 24501-2952
(434) 480-6526
Mailing address
925 DUCK POND DR APT 105, VIRGINIA BEACH, VA 23464-3333
(434) 480-6526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401415683
VA DENTAL LICENSE
VA
Enumeration date
08/02/2022
Last updated
08/02/2022
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