| Crozet Blue Ridge Dental, Plc | |
| 
					5405 Ashlar Ave Apt 102 Crozet VA 22932-1587  | |
| (434) 823-2385 | |
| (434) 823-2978 | 
| Full Name | Crozet Blue Ridge Dental, Plc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 5405 Ashlar Ave Apt 102, Crozet, Virginia | 
| Authorized Official Name and Position | Mary Chaffin (CREDENTIALING SPECIALIST) | 
| Authorized Official Contact | 7049978878 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Crozet Blue Ridge Dental, Plc 19810 W Catawba Ave Ste A1 Cornelius NC 28031-4056 Ph: (704) 997-8878  | Crozet Blue Ridge Dental, Plc 5405 Ashlar Ave Apt 102 Crozet VA 22932-1587 Ph: (434) 823-2385  | 
| NPI Number | 1780364026 | 
|---|---|
| Provider Enumeration Date | 07/21/2023 | 
| Last Update Date | 05/29/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780364026 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
Crozet Pediatric Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Claremont Lane, Suite 101, Crozet, VA 22932 Phone: 434-205-4594 Fax: 434-205-4627  | |
James W Willis Dds Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5690 Three Notch D Rd Ste 100, Crozet, VA 22932 Phone: 434-823-4080  |