Pandolfi, Philip Joseph

Pandolfi, Philip Joseph is an individual health care provider with primary practice located at 300 Central Ave , Fort Gregg Adams VA 23801-1526. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Pandolfi, Philip Joseph can be contacted via phone (804) 734-5454.

Contact Information

Primary practice address
300 Central Ave Fort Gregg Adams VA 23801-1526
Phone: (804) 734-5454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0401007043 Virginia

Profile Details

NPI number 1790848711
LBN Legal business name Pandolfi, Philip Joseph
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Jul 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790848711 NPPES
Virginia Other 139547 ANTHEM

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