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General NPI Number Information
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NPI Number | 1679430417
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Entity Type | Organization
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Legal Business Name | RIVER RUN DENTAL OF GREENBRIER PLLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 560 KEMPSVILLE RD STE 201
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City | CHESAPEAKE
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State | VA
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Zip | 23320-3603
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Country | US
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Telephone | 757-241-5735
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Fax |
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Provider Business Mailing Address
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Address Line | 560 KEMPSVILLE RD STE 201
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City | CHESAPEAKE
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State | VA
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Zip | 23320-3603
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Country | US
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Telephone | 757-241-5735
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Fax |
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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 |
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License Number State |
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