| Norman Prillaman Dds Ltd | |
|
306 Brook Park Place Forest VA 24551 | |
| (434) 385-4499 | |
| (434) 385-7944 |
| Full Name | Norman Prillaman Dds Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 306 Brook Park Place, Forest, Virginia |
| Authorized Official Name and Position | William Norman Prillaman (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 4343854499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norman Prillaman Dds Ltd 306 Brook Park Place Forest VA 24551 Ph: (434) 385-4499 | Norman Prillaman Dds Ltd 306 Brook Park Place Forest VA 24551 Ph: (434) 385-4499 |
| NPI Number | 1982807285 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 09/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982807285 | NPI | - | NPPES |
| 9178723 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0401008100 (Virginia) | Primary |
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