| Cooke Richardson & Overstreet Dds Pc | |
|
39 W Williamsburg Rd Sandston VA 23150 | |
| (804) 737-7402 | |
| (804) 737-5442 |
| Full Name | Cooke Richardson & Overstreet Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 39 W Williamsburg Rd, Sandston, Virginia |
| Authorized Official Name and Position | Douglas R Overstreet (PARTNER DOCTOR OF DENTAL SCIENCE) |
| Authorized Official Contact | 8047377402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooke Richardson & Overstreet Dds Pc 39 W Williamsburg Rd Sandston VA 23150 Ph: (804) 737-7402 | Cooke Richardson & Overstreet Dds Pc 39 W Williamsburg Rd Sandston VA 23150 Ph: (804) 737-7402 |
| NPI Number | 1407923691 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407923691 | NPI | - | NPPES |
| 983528 | Other | VA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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