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NPI Code Detail

MEDICARE: DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIA, PC

MEDICARE: DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIA, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry0401006625VA

General Provider Information

NPI Number : 1407284961
Entity Type Code : Organization
Provider Name (Legal Business Name) : DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIA, PC
Provider Business Mailing Address
First Line : 136 4TH ST N STE 201
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33701-3889
Country : US
Telephone Number : 727-800-8026
Fax Number : 727-304-3164
Provider Business Practice Location Address
First Line : 2905 ROCKFISH VALLEY HWY
Second Line :
City : NELLYSFORD
State : VA
Zip : 22958-2311
Country : US
Telephone Number : 434-361-2442
Fax Number : 434-361-1911
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MS. NANCY SCHIAPARELLI
Credential :
Telephone Number : 727-800-8040
Provider Enumeration Date : 10/21/2013
Last Update Date : 03/30/2023

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Directions to “DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIA, PC ” Practice Location

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