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General NPI Number Information
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NPI Number | 1770405367
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Entity Type | Organization
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Legal Business Name | RICHMOND CHILDREN'S GENERAL ANESTHESIA DENTISTRY, PLLC
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 5899 BREMO RD STE 204
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City | RICHMOND
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State | VA
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Zip | 23226-1935
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Country | US
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Telephone | 804-806-4381
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Fax |
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Provider Business Mailing Address
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Address Line | 5899 BREMO RD STE 204
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City | RICHMOND
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State | VA
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Zip | 23226-1935
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Country | US
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Telephone | 804-806-4381
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JEFFREY WHEELER
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Credential |
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Telephone | 301-494-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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