Petersburg Complete Dental Care Pllc

LBN: Petersburg Complete Dental Care Pllc
Petersburg Complete Dental Care Pllc is an health care organization with primary practice located at 23 Goodrich Ave , Petersburg VA 23805-2119. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Petersburg Complete Dental Care Pllc can be contacted via phone (804) 861-5237, or through St. George, Susan E via phone (804) 861-5237.

Contact Information

Primary practice address
23 Goodrich Ave Petersburg VA 23805-2119
Phone: (804) 861-5237
Fax:
Website:
Map and Directions
Authorized official contact:
Name: St. George, Susan E Doctor of Dental Surgery (DDS)
Phone: (804) 861-5237

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401412498 Virginia

Profile Details

NPI number 1770824435
LBN Legal business name Petersburg Complete Dental Care Pllc
DBA Doing business as
Authorized official St. George, Susan E Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2013
Last updated May 7th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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