| David B Pemberton Dds Pc | |
|
101 Cowardin Avenue Suite 303 Richmond VA 23224 | |
| (804) 233-6811 | |
| (804) 230-0980 |
| Full Name | David B Pemberton Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Cowardin Avenue, Richmond, Virginia |
| Authorized Official Name and Position | David B Pemberton (DOCTOR OF DENTAL SURGERY) |
| Authorized Official Contact | 8042336811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David B Pemberton Dds Pc 101 Cowardin Avenue Suite 303 Richmond VA 23224 Ph: (804) 233-6811 | David B Pemberton Dds Pc 101 Cowardin Avenue Suite 303 Richmond VA 23224 Ph: (804) 233-6811 |
| NPI Number | 1629098199 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 09/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629098199 | NPI | - | NPPES |
| 077681 | Other | VA | ANTHEM |
| 00762638 | Other | UNITED CONCORDIA | |
| 172260 | Other | VA | ANTHEM |
| 7815042 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401005552 (Virginia) | Primary |
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