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General NPI Number Information
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NPI Number | 1043372345
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Entity Type | Organization
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Legal Business Name | MIDGETTE DENTISTRY RVA, PLLC
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 8133 FOREST HILL AVENUE SUITE 201
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City | RICHMOND
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State | VA
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Zip | 23235
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Country | US
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Telephone | 804-272-2010
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Fax | 804-330-4703
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Provider Business Mailing Address
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Address Line | 8133 FOREST HILL AVE STE 201
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-3254
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Country | US
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Telephone | 804-272-2010
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Fax | 804-330-4703
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Authorized Official
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Title or Position | RCM DIRECTOR
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Name | KIM DAVIS
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Credential |
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Telephone | 703-568-5773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401004634
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License Number State | VA
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