Upper Mattaponi Indian Tribe

NPI #1245098391 in Aylett, Virginia

Provider Information

NPI Number
1245098391
Entity Type
Organization
Organization Name
Upper Mattaponi Indian Tribe
Subpart
Yes (part of a larger organization)
Parent Organization
UPPER MATTAPONI INDIAN TRIBE
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 12, 2024
Last Updated
Jun 27, 2024

Practice Location

Address
8014 RICHMOND TAPPAHANNOCK HWY
City
Aylett
ZIP Code
23009-3056
Phone
(804) 769-2015

Authorized Official

Name
STEVEN TUPPONCE
Title
DIRECTOR-UMIT HEALTH SERVICES
Phone
(804) 347-4109

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Dentist - Pediatric DentistryPediatric Dentistry
Clinic/Center - DentalDental

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