Tremont Road Dental Super, P.c.
NPI #1255418331 in Colonial Heights, Virginia
Provider Information
- NPI Number
- 1255418331
- Entity Type
- Organization
- Organization Name
- Tremont Road Dental Super, P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Jan 18, 2024
Practice Location
- Address
- 400C SOUTHPARK BLVD
- City
- Colonial Heights
- State
- Virginia
- ZIP Code
- 23834-2974
- Phone
- (678) 904-5665
Authorized Official
- Name
- GAIL DARDEN
- Title
- MANAGER OF CREDENTIALING
- Phone
- (770) 916-8143
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - General Practice — General Practice |
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