| Phoenix Family Dentistry Pllc | |
|
18197 Virginia Ave Boykins VA 23827-2767 | |
| (804) 586-6904 | |
| Not Available |
| Full Name | Phoenix Family Dentistry Pllc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/17/2025 |
| Last Update Date | 07/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558253286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |