Healthcare Provider Details

I. General information

NPI: 1093643728
Provider Name (Legal Business Name): ASHLEY HEMINGWAY HORROCKS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 W BROAD ST STE 104
RICHMOND VA
23230-3913
US

IV. Provider business mailing address

724 BRISTOL VILLAGE DR APT 307
MIDLOTHIAN VA
23114-4636
US

V. Phone/Fax

Practice location:
  • Phone: 804-282-4646
  • Fax:
Mailing address:
  • Phone: 910-391-6858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0401420056
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: