| Bwj Dentistry, Pllc | |
| 
					8642 Forest Rd Goode VA 24556-3027  | |
| (540) 587-5707 | |
| Not Available | 
| Full Name | Bwj Dentistry, Pllc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 8642 Forest Rd, Goode, Virginia | 
| Authorized Official Name and Position | Brandon White (OWER/MEMBER) | 
| Authorized Official Contact | 8282897079 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Bwj Dentistry, Pllc 101 Mckenna Cir Lynchburg VA 24503-1742 Ph: () -  | Bwj Dentistry, Pllc 8642 Forest Rd Goode VA 24556-3027 Ph: (540) 587-5707  | 
| NPI Number | 1669041729 | 
|---|---|
| Provider Enumeration Date | 06/23/2021 | 
| Last Update Date | 06/23/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669041729 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
A. R. Hendricksen, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8642 Forest Rd, Goode, VA 24556 Phone: 540-587-5707 Fax: 540-587-5727  |