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Dr. Alfred Joseph Certosimo
General Practice Dentistry in Richmond, Virginia
NPI 1770736563

Alfred Joseph Certosimo is a General Practice Dentistry based in Richmond, VA and is specialized in General Practice. Alfred Joseph Certosimo practices in Richmond, VA. The NPI Number for Alfred Joseph Certosimo is 1770736563 and holds a License No. 0401008264 (Virginia).

The current practice location address for Alfred Joseph Certosimo is 520 N 12Th St, Richmond, VA and can be reached out via phone at 804-828-9190 and via fax at 804-828-9358.

Location: 520 N 12Th St, Richmond, VA, 23298-5064
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770736563
Provider Name
Alfred Joseph Certosimo
Credential
Provider Entity Type
Individual
Gender
Male
Address
520 N 12Th St, Richmond, VA, 23298-5064
Phone Number
804-828-9190
Fax Number
804-828-9358
Provider Enumeration Date
10/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
153654 01 VA UNITED CONCORDIA
453709 01 VA ANTHEM
5894 05 VA
institution
Provider Business Practice Location Address Details
Address
520 N 12Th St
City
Richmond
State
Virginia
Zip
23298-5064
Phone Number
804-828-9190
Fax Number
804-828-9358
person
Provider Business Mailing Address Details
Address
520 N 12Th St
City
Richmond
State
Virginia
Zip
23298-5064
Phone Number
804-828-9190
Fax Number
804-828-9358
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401008264 (Virginia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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