Phoenix Family Dentistry Pllc | |
18197 Virginia Ave Boykins VA 23827-2767 | |
(804) 586-6904 | |
Not Available |
Full Name | Phoenix Family Dentistry Pllc |
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Speciality | Clinic/center - Dental |
Location | 18197 Virginia Ave, Boykins, Virginia |
Authorized Official Name and Position | Jacqueline Brown (DENTIST) |
Authorized Official Contact | 8045866904 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Phoenix Family Dentistry Pllc 2194 Southampton Pkwy Emporia VA 23847-6604 Ph: (804) 586-6904 | Phoenix Family Dentistry Pllc 18197 Virginia Ave Boykins VA 23827-2767 Ph: (804) 586-6904 |
NPI Number | 1558253286 |
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Provider Enumeration Date | 07/17/2025 |
Last Update Date | 07/17/2025 |
Identifier | Type | State | Issuer |
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1558253286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |