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CHESTERFIELD DENTAL CENTER NPI 1073786299


NPI Information

NPI: 1073786299
Provider Name: CHESTERFIELD DENTAL CENTER
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
30 COURTHOUSE RD
RICHMOND, VA
ZIP 23236
Phone: (804) 379-7855
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CHESTERFIELD DENTAL CENTER is a dental clinic center in Richmond, VA. CHESTERFIELD DENTAL CENTER NPI is 1073786299. The provider is registered as an organization entity type.

The provider's business location address is:

30 COURTHOUSE RD
RICHMOND, VA
ZIP 23236-124
Phone: (804) 379-7855
Fax: (804) 379-2159

The provider's authorized official is Michael Patrick Mcquade .
The authorized official title is Owner and has the following contact phone number (804) 379-7855.

The enumeration date for this NPI number is 4/9/2008 and was last updated on 6/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental1140507VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19181303MEDICAIDVIRGINIA
20007105MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.