Commonwealth Dentistry - Crewe is a dental clinic (Dentist) in Crewe, Virginia. The current practice location for Commonwealth Dentistry - Crewe is 600 W Virginia Ave, Crewe, Virginia. For appointments, you can reach them via phone at
(434) 645-7558. The mailing address for Commonwealth Dentistry - Crewe is Po Box 749632, Atlanta, Georgia and phone number is () -.
Commonwealth Dentistry - Crewe is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1336803428. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(434) 645-7558.
Dental Care Clinic Profile
| Full Name | Commonwealth Dentistry - Crewe |
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| Speciality | Dentist |
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| Location | 600 W Virginia Ave, Crewe, Virginia |
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| Authorized Official Name and Position | Michael Riccobene (OWNER) |
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| Authorized Official Contact | 9195855205 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Commonwealth Dentistry - Crewe
Po Box 749632
Atlanta
GA 30374-9632
Ph: () - | Commonwealth Dentistry - Crewe
600 W Virginia Ave
Crewe
VA 23930-1115
Ph: (434) 645-7558 |
NPI Details:
| NPI Number | 1336803428 |
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| Provider Enumeration Date | 10/26/2021 |
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| Last Update Date | 10/19/2023 |
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Medical Identifiers
Medical identifiers for Commonwealth Dentistry - Crewe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336803428 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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