South River Dentistry
NPI #1558812719 in Midlothian, Virginia
Provider Information
- NPI Number
- 1558812719
- Entity Type
- Organization
- Organization Name
- South River Dentistry
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTRAL VIRGINIA DENTAL CARE
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 21, 2016
- Last Updated
- Oct 21, 2016
Practice Location
- Address
- 2301 ROBIOUS STATION CIR
- City
- Midlothian
- State
- Virginia
- ZIP Code
- 23113-2124
- Phone
- (804) 378-7888
Authorized Official
- Name
- DR. JEFFERSON THAIR BLACKBURN, DDS
- Title
- OWNER
- Phone
- (804) 378-7888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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