Commonwealth Dentistry - Kenbridge is a dental clinic (Dentist) in Kenbridge, Virginia. The current practice location for Commonwealth Dentistry - Kenbridge is 202 E 5th Ave, Kenbridge, Virginia. For appointments, you can reach them via phone at
(434) 676-8023. The mailing address for Commonwealth Dentistry - Kenbridge is Po Box 749632, Atlanta, Georgia and phone number is (919) 439-3331.
Commonwealth Dentistry - Kenbridge is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1598429680. 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) 676-8023.
Dental Care Clinic Profile
| Full Name | Commonwealth Dentistry - Kenbridge |
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| Speciality | Dentist |
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| Location | 202 E 5th Ave, Kenbridge, Virginia |
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| Authorized Official Name and Position | Michael Riccobene (OWNER) |
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| Authorized Official Contact | 9108536172 |
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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 |
|---|
Commonwealth Dentistry - Kenbridge
Po Box 749632
Atlanta
GA 30374-9632
Ph: (919) 439-3331 | Commonwealth Dentistry - Kenbridge
202 E 5th Ave
Kenbridge
VA 23944-2040
Ph: (434) 676-8023 |
NPI Details:
| NPI Number | 1598429680 |
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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 - Kenbridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598429680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Secondary |
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (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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