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NPI Code Detail

MEDICARE: TWO RIVERS FAMILY AND COSMETIC DENTISTRY

MEDICARE: TWO RIVERS FAMILY AND COSMETIC DENTISTRY
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
1122300000XDentistVA 6463VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1763008OTHERVAUNITED CONCORDIA INSURANC
20000000235147OTHERVAANTHEM INSURANCE

General Provider Information

NPI Number : 1851492540
Entity Type Code : Organization
Provider Name (Legal Business Name) : TWO RIVERS FAMILY AND COSMETIC DENTISTRY
Provider Business Mailing Address
First Line : 1118-A PROFESSIONAL DRIVE
Second Line :
City : WILLIAMSBURG
State : VA
Zip : 23185-3330
Country : US
Telephone Number : 757-229-5570
Fax Number : 757-259-0719
Provider Business Practice Location Address
First Line : 1118-A PROFESSIONAL DRIVE
Second Line :
City : WILLIAMSBURG
State : VA
Zip : 23185-3330
Country : US
Telephone Number : 757-229-5570
Fax Number : 757-259-0719
Authorized Official
Title or Position : OWNER/PARTNER
Name : RICHARD WORDEN LACHINE III
Credential : DDS
Telephone Number : 757-229-5570
Provider Enumeration Date : 09/26/2006
Last Update Date : 02/02/2026

Similar Medicare Providers

1073590071 — DR. STEPHEN WYATT SHIELD M.D.
Practice Location Address:
1144 PROFESSIONAL DR
WILLIAMSBURG, VA
23185-3330
Practice Phone: 757-259-0443
Practice Fax: 757-259-0450
1376585240 — JOAN L BRAUCKMANN MD
Practice Location Address:
1144 PROFESSIONAL DR
WILLIAMSBURG, VA
23185-3330
Practice Phone: 757-259-0443
Practice Fax: 757-259-0450
1417041609 — DR. ERIC W. BOXX D. M. D.
Practice Location Address:
1118 PROFESSIONAL DR # A
WILLIAMSBURG, VA
23185-3330
Practice Phone: 757-229-5570
Practice Fax: 757-259-0719
1235223330 — DR. THOMAS P. BOWE JR. D. D. S.
Practice Location Address:
1118 PROFESSIONAL DR # A
WILLIAMSBURG, VA
23185-3330
Practice Phone: 757-229-5570
Practice Fax: 757-259-0719
1821182940 — DR. THEODORE A. BLANEY D. M. D.
Practice Location Address:
1118 PROFESSIONAL DR # A
WILLIAMSBURG, VA
23185-3330
Practice Phone: 757-229-5570
Practice Fax: 757-259-0719
1891889051 — DR. RICHARD W. LACHINE III D. D. S.
Practice Location Address:
1118 PROFESSIONAL DR # A
WILLIAMSBURG, VA
23185-3330
Practice Phone: 757-229-5570
Practice Fax: 757-259-0719

Directions to “TWO RIVERS FAMILY AND COSMETIC DENTISTRY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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