Healthcare Provider Details

I. General information

NPI: 1578450912
Provider Name (Legal Business Name): JOSEPH W ELROD JR DDS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N THOMPSON ST
RICHMOND VA
23221-2718
US

IV. Provider business mailing address

10 N THOMPSON ST
RICHMOND VA
23221-2718
US

V. Phone/Fax

Practice location:
  • Phone: 804-359-5041
  • Fax:
Mailing address:
  • Phone: 804-359-5041
  • Fax: 804-358-3272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARY STANLEY
Title or Position: ADMIN
Credential:
Phone: 804-746-1300