person
Elizabeth Baker Bortell, DDS
Pediatric Dentist in Richmond, Virginia
NPI 1992894190

Elizabeth Baker Bortell is a Pediatric Dentist based in Richmond, VA and is specialized in Pediatric Dentistry. Elizabeth Baker Bortell practices in Richmond, VA and has the professional credentials of DDS. The NPI Number for Elizabeth Baker Bortell is 1992894190 and holds a License No. 0401410308 (Virginia).

The current practice location address for Elizabeth Baker Bortell is 2924 Brook Rd, Richmond, VA and can be reached out via phone at 804-321-7474 and via fax at 804-228-5970.

Location: 2924 Brook Rd, Richmond, VA, 23220-1215
person
Provider Profile Details
NPI Number
1992894190
Provider Name
Elizabeth Baker Bortell
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2924 Brook Rd, Richmond, VA, 23220-1215
Phone Number
804-321-7474
Fax Number
804-228-5970
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0401410308 01 VA PROFESSIONAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2924 Brook Rd
City
State
Zip
23220-1215
Phone Number
804-321-7474
Fax Number
804-228-5970
person
Provider Business Mailing Address Details
Address
2924 Brook Rd
City
State
Zip
23220-1215
Phone Number
804-321-7474
Fax Number
804-228-5970
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
0401410308 (Virginia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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