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NPI Code Detail

MEDICARE: DR. HUGH TELLER DDS

MEDICARE:  DR. HUGH  TELLER  DDS
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
11223G0001XGeneral Practice Dentistry0401007562VA

General Provider Information

NPI Number : 1558525493
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HUGH TELLER DDS
Provider Business Mailing Address
First Line : 2202 N. BERKSHIRE RD. SUITE 202
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22901-2761
Country : US
Telephone Number : 434-296-4012
Fax Number : 434-829-0025
Provider Business Practice Location Address
First Line : 2202 N. BERKSHIRE RD. SUITE 202
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22901-2761
Country : US
Telephone Number : 434-296-4012
Fax Number : 434-829-0025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2008
Last Update Date : 06/05/2018

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Directions to “ DR. HUGH TELLER DDS” Practice Location

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