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NPI 1417017948

NPI 1417017948 : JOSEPH W ELROD JR. DDS : MECHANICSVILLE, VA

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General NPI Number Information
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    NPI Number           |    1417017948
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH W ELROD JR. DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/12/2006
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    Last Update Date     |    06/19/2025
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Provider Practice Location Address
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    Address Line         |    7516 RIGHT FLANK RD 
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    City                 |    MECHANICSVILLE
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    State                |    VA
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    Zip                  |    23116-3827
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    Country              |    US
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    Telephone            |    804-746-1300
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    Fax                  |    804-730-4149
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Provider Business Mailing Address
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    Address Line         |    7516 RIGHT FLANK RD 
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    City                 |    MECHANICSVILLE
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    State                |    VA
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    Zip                  |    23116-3827
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    Country              |    US
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    Telephone            |    804-746-1300
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    Fax                  |    804-730-4149
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    040140426
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    License Number State |    VA
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