Commonwealth Dentistry - Palmyra is a dental clinic (Dentist - General Practice) in Palmyra, Virginia. The current practice location for Commonwealth Dentistry - Palmyra is 40 Joshua Ln, Palmyra, Virginia. For appointments, you can reach them via phone at
(434) 589-6999. The mailing address for Commonwealth Dentistry - Palmyra is Po Box 749632, Atlanta, Georgia and phone number is (919) 585-5205.
Commonwealth Dentistry - Palmyra is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1326701764. 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) 589-6999.
Dental Care Clinic Profile
| Full Name | Commonwealth Dentistry - Palmyra |
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| Speciality | Dentist - General Practice |
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| Location | 40 Joshua Ln, Palmyra, 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 |
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Commonwealth Dentistry - Palmyra
Po Box 749632
Atlanta
GA 30374-9632
Ph: (919) 585-5205 | Commonwealth Dentistry - Palmyra
40 Joshua Ln
Palmyra
VA 22963-6208
Ph: (434) 589-6999 |
NPI Details:
| NPI Number | 1326701764 |
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| Provider Enumeration Date | 10/21/2021 |
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| Last Update Date | 10/19/2023 |
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Medical Identifiers
Medical identifiers for Commonwealth Dentistry - Palmyra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326701764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 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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