MEDICARE: COTREATME - VIGINIA PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1437006962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COTREATME - VIGINIA PC

Provider Business Mailing Address
First Line	:	1195 AWESOME AVE
Second Line	:
City	:	SALADO
State	:	TX
Zip	:	76571-6476
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3253 TAYLOR RD STE 100
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321-2452
Country	:	US
Telephone Number	:	210-269-8003
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SCOTT V LAW
Credential	:	DMD
Telephone Number	:	401-268-7328

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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