Individual
DR. PHILIP JOSEPH RENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7198 CHAPMAN DR, SUITE 7, HAYES, VA 23072-3416
(804) 684-9971
(804) 642-2097
Mailing address
125 LAYDON WAY, POQUOSON, VA 23662-2243
(757) 868-7331
(804) 642-2097
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
VA0401008390
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106648
—
VA
01
—
8390
DELTA PROVIDER
VA
01
—
970780
UNITED CONCORDIA PROVIDER
VA
01
—
VA0401008390
STATE OF VA LICENSE #
VA
Enumeration date
08/30/2006
Last updated
03/07/2023
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