BON SECOURS VIRGINIA MEDICAL GROUP I, LLC 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. BON SECOURS VIRGINIA MEDICAL GROUP I, LLC NPI is 1821425760. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bon Secours Pediatric Dental Associates.
The provider's business location address is:
6900 FOREST AVE
SUITE 110
RICHMOND, VA
ZIP 23230-729
Phone: (804) 893-8715
Fax: (804) 285-1292
The provider's authorized official is George Butler .
The authorized official title is Director Corporate Responsibility and has the following contact phone number (804) 281-0271.
The CLIA number assigned to this NPI record is 49D2046915 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/10/2013 and was last updated on 10/10/2013.