| A. R. Hendricksen, D.d.s., Inc. | |
|
8642 Forest Rd Goode VA 24556-3027 | |
| (540) 587-5707 | |
| (540) 587-5727 |
| Full Name | A. R. Hendricksen, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8642 Forest Rd, Goode, Virginia |
| Authorized Official Name and Position | Alf Ronald Hendricksen (PRESIDENT) |
| Authorized Official Contact | 5405875707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A. R. Hendricksen, D.d.s., Inc. 4901 Mountain Laurel Dr Lynchburg VA 24503-1972 Ph: (434) 384-6900 | A. R. Hendricksen, D.d.s., Inc. 8642 Forest Rd Goode VA 24556-3027 Ph: (540) 587-5707 |
| NPI Number | 1033384052 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033384052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 04426 (Virginia) | Primary |
Bwj Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8642 Forest Rd, Goode, VA 24556 Phone: 540-587-5707 |