NPI 1366818841

Brush Up Dental PC

Organisation Preferred Provider Organization Richmond, VA

Practice location

Address: 7000 Forest Ave #800, Richmond, VA 23230
Phone: (804) 673-5280

Authorised official

Name: Jason T Lipscomb
Title: Dentist
Phone: (804) 986-4058

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 0401410585 (VA)

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Registry record

NPI: 1366818841
Entity type: Organization
NPI issued: 19 Aug 2015
Record last updated: 19 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.