Mount Jackson Dental Care, Pllc
NPI #1053167213 in Mount Jackson, Virginia
Provider Information
- NPI Number
- 1053167213
- Entity Type
- Organization
- Organization Name
- Mount Jackson Dental Care, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 29, 2024
- Last Updated
- Apr 29, 2024
Practice Location
- Address
- 5338 MAIN STREET
- City
- Mount Jackson
- State
- Virginia
- ZIP Code
- 22842
- Phone
- (540) 477-2901
Authorized Official
- Name
- MICHELE DEAVERS
- Title
- OFFICE MANAGER
- Phone
- (540) 477-2901
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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