Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dentistry VCU

Organization Dentist · NPI 1790877504

Dentistry VCU is a Dentist in Richmond, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

520 N 12th St
Richmond, VA 23298-5064
Phone: (804) 828-9190
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 005311 (VA)
Dentist Taxonomy 122300000X

Record details

NPI number1790877504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Jacobs — Director Of Finance · (804) 828-6514
NPI enumeratedSeptember 29, 2006
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023
Mailing address520 N 12th St, Richmond, VA 23298-5064

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