Healthcare Provider Details

I. General information

NPI: 1174432363
Provider Name (Legal Business Name): DIGNACROWN MEDICAL HAIR SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 OLD BRICK RD STE 105
GLEN ALLEN VA
23060-5841
US

IV. Provider business mailing address

3030 KINVAN RD
RICHMOND VA
23231-7160
US

V. Phone/Fax

Practice location:
  • Phone: 888-603-4355
  • Fax: 888-610-5791
Mailing address:
  • Phone: 804-908-2528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: ROBYN ROOTS
Title or Position: CEO
Credential: RN
Phone: 804-908-2528