Crozet Blue Ridge Dental, Plc

NPI #1780364026 in Crozet, Virginia

Provider Information

NPI Number: 1780364026
Entity Type: Organization
Organization Name: Crozet Blue Ridge Dental, Plc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 21, 2023
Last Updated: May 29, 2024

Practice Location

Address: 5405 ASHLAR AVE APT 102
City: Crozet
State: Virginia
ZIP Code: 22932-1587
Phone: (434) 823-2385

Authorized Official

Name: MARY CHAFFIN
Title: CREDENTIALING SPECIALIST
Phone: (704) 997-8878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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