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General NPI Number Information
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NPI Number | 1538204185
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Entity Type | Organization
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Legal Business Name | ROGER E WOOD NICHOLAS C LOMBARDOZZI DDS PC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11601 ROBIOUS ROAD SUITE 130
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City | MIDLOTHIAN
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State | VA
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Zip | 23113
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Country | US
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Telephone | 804-794-3498
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Fax | 804-794-8344
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Provider Business Mailing Address
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Address Line | 11601 ROBIOUS ROAD SUITE 130
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City | MIDLOTHIAN
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State | VA
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Zip | 23113
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Country | US
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Telephone | 804-794-3498
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Fax | 804-794-8344
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Authorized Official
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Title or Position | DOCTOR
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Name | NICHOLAS CHRISTOPHER LOMBARDOZZI
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Credential | DDS
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Telephone | 804-794-3498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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