| Pediatric Dental Care Of Virginia | |
|
5126 King's Mountain Road Collinsville VA 24078 | |
| (276) 647-2033 | |
| (276) 647-2034 |
| Full Name | Pediatric Dental Care Of Virginia |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5126 King's Mountain Road, Collinsville, Virginia |
| Authorized Official Name and Position | Gabriel Malchijah Brown (PRESIDENT) |
| Authorized Official Contact | 5402932289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Care Of Virginia 5126 King's Mountain Road Collinsville VA 24078 Ph: (276) 647-2033 | Pediatric Dental Care Of Virginia 5126 King's Mountain Road Collinsville VA 24078 Ph: (276) 647-2033 |
| NPI Number | 1366654808 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366654808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 0401410219 (Virginia) | Primary |
Collinsville Dental Associates, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Kings Mountain Rd, Collinsville, VA 24078 Phone: 276-634-1494 |