Pediatric Dentistry & Orthodontics of Va, PC
NPI #1124579396 in Midlothian, Virginia
Provider Information
- NPI Number
- 1124579396
- Entity Type
- Organization
- Organization Name
- Pediatric Dentistry & Orthodontics of Va, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTRAL VIRGINIA DENTAL CARE, P.L.C.-PEDIATRIC DENTISTRY & ORTHODONTIC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 21, 2016
- Last Updated
- Dec 12, 2023
Practice Location
- Address
- 13463 HULL STREET RD.
- City
- Midlothian
- State
- Virginia
- ZIP Code
- 23112-2103
- Phone
- (804) 739-0963
Authorized Official
- Name
- STEVEN R. LUBBE, D.M.D.
- Title
- VICE PRESIDENT
- Phone
- (804) 739-0963
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - General Practice — General Practice |
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