NPI 1023178316
Augustus Allen Petticolas, DDS
Practice location
- Address
- 1342 Park Ave, Lynchburg, VA 24501-1824
- Phone
- (434) 528-3375
- Fax
- (434) 528-2293
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1023178316
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Dec 2006
- Record last updated
- 9 Jul 2007
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.