| Dr Cynthia Martin Southern, DDS | |
|
62 E Main Street, Pulaski, VA 24301 | |
| (540) 280-5129 | |
| (540) 980-5179 |
| Full Name | Dr Cynthia Martin Southern |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 62 E Main Street, Pulaski, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881700250 | NPI | - | NPPES |
| 9178924 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401410201 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cynthia Martin Southern, DDS 62 E Main Street, Pulaski, VA 24301 Ph: (540) 280-5129 | Dr Cynthia Martin Southern, DDS 62 E Main Street, Pulaski, VA 24301 Ph: (540) 280-5129 |
Henry Kesler Higginbotham Ii, DDS Dentist Medicare: Medicare Enrolled Practice Location: 73 3rd St Nw, Pulaski, VA 24301 Phone: 540-980-8898 | |
Ronald Oakley Vaughan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 158 N Washington Ave, Pulaski, VA 24301 Phone: 540-980-4695 | |
Dr. Brian Lee Bertholomey, DDS Dentist Medicare: Medicare Enrolled Practice Location: 65 East Main Street, Suite C, Pulaski, VA 24301 Phone: 540-980-5202 Fax: 540-980-6764 |