VCU is a periodontics dentist in Richmond, VA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. VCU NPI is 1073065173. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
520 N 12TH ST
RICHMOND, VA
ZIP 23298-064
Phone: (804) 828-9190
The provider's authorized official is Thomas Waldrop .
The authorized official title is Program Director and has the following contact phone number (804) 828-4867.
The CLIA number assigned to this NPI record is 49D0661169 - other - oral path services with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 10/25/2016 and was last updated on 10/25/2016.