| Southside Dental Cares, Pc | |
|
2731 S Crater Rd Petersburg VA 23805-2403 | |
| (804) 732-8557 | |
| Not Available |
| Full Name | Southside Dental Cares, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2731 S Crater Rd, Petersburg, Virginia |
| Authorized Official Name and Position | Barbara Hepner (MANAGER) |
| Authorized Official Contact | 8042908001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Dental Cares, Pc 5231 Hickory Park Dr Ste E Glen Allen VA 23059-2619 Ph: (804) 290-8001 | Southside Dental Cares, Pc 2731 S Crater Rd Petersburg VA 23805-2403 Ph: (804) 732-8557 |
| NPI Number | 1962154252 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962154252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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