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

Dwight Deadmon, SA

Individual provider Surgical Assistant · NPI 1639830714

Dwight Deadmon, SA is a Surgical Assistant in North Chesterfield, Virginia. Licensed in Virginia. Registered with an NPI since 2022.

Licensed in
VA
In the registry since
2022

Practice location Address checks out

1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone: (804) 483-6111
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 0136000002 (VA)

Record details

NPI number1639830714
Entity typeIndividual (Type 1)
GenderMale
Credentials SA
Sole proprietorNo
NPI enumeratedJanuary 1, 2022
Last updated in NPPESJanuary 1, 2022
Certification dateJanuary 1, 2022
Mailing address1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730