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Dr. Matthew Reed Brokaw, DDS
General Practice Dentistry in Glen Allen, Virginia
NPI 1982705109

Matthew Reed Brokaw is a General Practice Dentistry based in Glen Allen, VA and is specialized in General Practice. Matthew Reed Brokaw practices in Glen Allen, VA and has the professional credentials of DDS. The NPI Number for Matthew Reed Brokaw is 1982705109 and holds a License No. 0401008695 (Virginia).

The current practice location address for Matthew Reed Brokaw is 4924 Dominion Blvd, Glen Allen, VA and can be reached out via phone at 804-270-6200 and via fax at 804-965-0581.

Location: 4924 Dominion Blvd, Glen Allen, VA, 23060-6766
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982705109
Provider Name
Matthew Reed Brokaw
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4924 Dominion Blvd, Glen Allen, VA, 23060-6766
Phone Number
804-270-6200
Fax Number
804-965-0581
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
979564 01 VA UNITED CONCORDIA
205329 01 VA ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
4924 Dominion Blvd
City
Glen Allen
State
Virginia
Zip
23060-6766
Phone Number
804-270-6200
Fax Number
804-965-0581
person
Provider Business Mailing Address Details
Address
4924 Dominion Blvd
City
Glen Allen
State
Virginia
Zip
23060-6766
Phone Number
804-270-6200
Fax Number
804-965-0581
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401008695 (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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