Healthcare Provider Details

I. General information

NPI: 1841125259
Provider Name (Legal Business Name): DR FELTON & ASSOCIATES OF CHESTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10611 GREENYARD WAY STE A
CHESTER VA
23831-1484
US

IV. Provider business mailing address

PO BOX 604473
CHARLOTTE NC
28260-4473
US

V. Phone/Fax

Practice location:
  • Phone: 804-210-5805
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: KIM DAVIS
Title or Position: RCM DIRECTOR
Credential:
Phone: 703-568-5773