| Ladysmith Dental Center | |
| 
					18010 Jefferson Davis Hwy Ruther Glen VA 22546-2922  | |
| (804) 589-1491 | |
| (804) 589-1494 | 
| Full Name | Ladysmith Dental Center | 
|---|---|
| Speciality | Dentist | 
| Location | 18010 Jefferson Davis Hwy, Ruther Glen, Virginia | 
| Authorized Official Name and Position | Kelly Lynn Rothenberger (OFFICE MANAGER) | 
| Authorized Official Contact | 8045891491 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ladysmith Dental Center 18010 Jefferson Davis Hwy Ruther Glen VA 22546-2922 Ph: (804) 589-1491  | Ladysmith Dental Center 18010 Jefferson Davis Hwy Ruther Glen VA 22546-2922 Ph: (804) 589-1491  | 
| NPI Number | 1912346073 | 
|---|---|
| Provider Enumeration Date | 06/21/2013 | 
| Last Update Date | 06/21/2013 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1912346073 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 0401412257 (Virginia) | Primary | 
Louis J. Korpics Jr., Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17488 Center Dr, Suite 3a, Ruther Glen, VA 22546 Phone: 804-363-4283  | |
Belmont Cox Group Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11073 Colonel Armistead Dr Ste 107, Ruther Glen, VA 22546 Phone: 804-589-2001  | |
Ruther Glen Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11073 Colonel Armstead Dr, Suite 107, Ruther Glen, VA 22546 Phone: 703-629-5847  |