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NPI Code Detail

MEDICARE: DR. WILLIAM O DAHLKE JR. DMD

MEDICARE: DR. WILLIAM O DAHLKE JR. DMD
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
11223P0221XPediatric Dentistry0401414611VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548334071
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM O DAHLKE JR. DMD
Provider Business Mailing Address
First Line : 2560 GASKINS RD
Second Line :
City : RICHMOND
State : VA
Zip : 23238-1468
Country : US
Telephone Number : 804-741-2226
Fax Number :
Provider Business Practice Location Address
First Line : 2560 GASKINS RD
Second Line :
City : RICHMOND
State : VA
Zip : 23238-1468
Country : US
Telephone Number : 804-741-2226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 05/04/2021

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