| Richmond Virginia Orthodontics Of Short Pump, Pllc | |
|
3400 Haydenpark Ln Ste 201 Henrico VA 23233-7867 | |
| (804) 884-9906 | |
| Not Available |
| Full Name | Richmond Virginia Orthodontics Of Short Pump, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3400 Haydenpark Ln Ste 201, Henrico, Virginia |
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
| Authorized Official Contact | 6128590444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond Virginia Orthodontics Of Short Pump, Pllc 3400 Haydenpark Ln Ste 201 Henrico VA 23233-7867 Ph: () - | Richmond Virginia Orthodontics Of Short Pump, Pllc 3400 Haydenpark Ln Ste 201 Henrico VA 23233-7867 Ph: (804) 884-9906 |
| NPI Number | 1235892274 |
|---|---|
| Provider Enumeration Date | 10/18/2021 |
| Last Update Date | 10/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235892274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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Short Pumps Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3811 Westerre Pkwy, Suite C, Henrico, VA 23233 Phone: 804-747-0116 Fax: 804-747-6881 | |
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