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General NPI Number Information
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NPI Number | 1861576332
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Entity Type | Organization
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Legal Business Name | CHARLOTTESVILLE AREA DENTAL ACCESS INC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2778 HYDRAULIC ROAD SUITE 3
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-8947
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Country | US
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Telephone | 434-293-9300
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Fax | 434-973-9310
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Provider Business Mailing Address
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Address Line | 2778 HYDRAULIC ROAD SUITE 3
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-8947
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Country | US
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Telephone | 434-293-9300
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Fax | 434-973-9310
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. REBECCA E WEYBRIGHT
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Credential |
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Telephone | 434-293-9300
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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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Taxonomy #2
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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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