Healthcare Provider Details

I. General information

NPI: 1801726179
Provider Name (Legal Business Name): RNK WILLIAMSBURG DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4680 MONTICELLO AVE STE 16A
WILLIAMSBURG VA
23188-8214
US

IV. Provider business mailing address

4680 MONTICELLO AVE STE 16A
WILLIAMSBURG VA
23188-8214
US

V. Phone/Fax

Practice location:
  • Phone: 757-258-1042
  • Fax: 757-258-1225
Mailing address:
  • Phone: 757-258-1042
  • Fax: 757-258-1225

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: MRS. ASHLYN FERGUSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 313-421-1411