| Daniel Tiesworth DDS | |
|
11435 Robious Rd North Chesterfield VA 23235-4309 | |
| (804) 330-4324 | |
| Not Available |
| Full Name | Daniel Tiesworth DDS |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11435 Robious Rd, North Chesterfield, Virginia |
| Authorized Official Name and Position | Lauri Henderson (ASSISTANT) |
| Authorized Official Contact | 8048973600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Tiesworth DDS 1206 Pondola Ln South Chesterfield VA 23834-1636 Ph: (804) 897-3600 | Daniel Tiesworth DDS 11435 Robious Rd North Chesterfield VA 23235-4309 Ph: (804) 330-4324 |
| NPI Number | 1487362554 |
|---|---|
| Provider Enumeration Date | 11/08/2022 |
| Last Update Date | 11/08/2022 |
| Certification Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487362554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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