institution
Virginia Commonwealth University
Dental Clinic/Center in Richmond, Virginia
NPI 1639344641

Virginia Commonwealth University is a Dental Clinic/Center based in Richmond, VA and is specialized in Dental. Virginia Commonwealth University practices in Richmond, VA. The NPI Number for Virginia Commonwealth University is 1639344641 and holds a License No. 0401008264 (Virginia).

The current practice location address for Virginia Commonwealth University is 520 N 12Th Street, Richmond, VA and can be reached out via phone at 804-828-2977 and via fax at 804-828-3159.

Location: 520 N 12Th Street, Richmond, VA, 23298-0566
institution
Provider Profile Details
NPI Number
1639344641
Provider Name
Virginia Commonwealth University
Credential
Provider Entity Type
Organization
Address
520 N 12Th Street, Richmond, VA, 23298-0566
Phone Number
804-828-2977
Fax Number
804-828-3159
Provider Enumeration Date
04/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
153654 01 VA UNITED CONCORDIA
5894 05 VA
453709 01 VA ANTHEM
institution
Provider Business Practice Location Address Details
Address
520 N 12Th Street
City
State
Zip
23298-0566
Phone Number
804-828-2977
Fax Number
804-828-3159
person
Provider Business Mailing Address Details
Address
520 N 12Th Street
City
State
Zip
23298-0566
Phone Number
804-828-2977
Fax Number
804-828-3159
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
0401008264 (Virginia)
Definition
Definition to come...
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