| Crozet Pediatric Dentistry, Pc | |
| 
					300 Claremont Lane Suite 101 Crozet VA 22932-3369  | |
| (434) 205-4594 | |
| (434) 205-4627 | 
| Full Name | Crozet Pediatric Dentistry, Pc | 
|---|---|
| Speciality | Dentist - Pediatric Dentistry | 
| Location | 300 Claremont Lane, Crozet, Virginia | 
| Authorized Official Name and Position | Kevin Clifford (PRESIDENT/PEDIATRIC DENTIST) | 
| Authorized Official Contact | 8043872423 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Crozet Pediatric Dentistry, Pc 1005 Heathercroft Cir Ste 300 Crozet VA 22932-3369 Ph: () -  | Crozet Pediatric Dentistry, Pc 300 Claremont Lane Suite 101 Crozet VA 22932-3369 Ph: (434) 205-4594  | 
| NPI Number | 1447699277 | 
|---|---|
| Provider Enumeration Date | 06/14/2013 | 
| Last Update Date | 04/20/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447699277 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 0401411881 (Virginia) | Primary | 
Crozet Blue Ridge Dental, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5405 Ashlar Ave Apt 102, Crozet, VA 22932 Phone: 434-823-2385 Fax: 434-823-2978  | |
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  |