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VCU HEALTH CHILDREN'S SERVICES AT BROOK ROAD NPI 1720293467


NPI Information

NPI: 1720293467
Provider Name: VCU HEALTH CHILDREN'S SERVICES AT BROOK ROAD

Former Legal Business Name: CRIPPLED CHILDREN'S HOSPITAL

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
2924 BROOK RD
CHILDREN'S HOSPITAL
RICHMOND, VA
ZIP 23220
Phone: (804) 321-7474
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VCU HEALTH CHILDREN'S SERVICES AT BROOK ROAD is a pediatric dentistry dentist in Richmond, VA. The provider is 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. VCU HEALTH CHILDREN'S SERVICES AT BROOK ROAD NPI is 1720293467. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Crippled Children's Hospital.

The provider's business location address is:

2924 BROOK RD
CHILDREN'S HOSPITAL
RICHMOND, VA
ZIP 23220-215
Phone: (804) 321-7474
Fax: (804) 321-2728

The provider's authorized official is Robin Crotts .
The authorized official title is Director and has the following contact phone number (804) 228-5202.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 6/15/2021.


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
11223P0221XDentistPediatric DentistryH1842VIRGINIAYes

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
1004909976MEDICAIDVIRGINIA

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: 4/28/2024

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.