Toothbeary Pediatric Dentistry

LBN: Darchelle Braxton Dmd Pc
Toothbeary Pediatric Dentistry is an health care organization with primary practice located at 4300 Pouncey Tract Road Suite I , Glen Allen VA 23060. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Darchelle Braxton Dmd Pc can be contacted via phone (804) 709-8166, or through Braxton, Darchelle via phone (804) 709-8166.

Contact Information

Primary practice address
4300 Pouncey Tract Road Suite I Glen Allen VA 23060
Phone: (804) 709-8166
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Braxton, Darchelle Doctor of Dental Medicine (DMD)
Phone: (804) 709-8166

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 0401414243 Virginia

Profile Details

NPI number 1265889570
LBN Legal business name Darchelle Braxton Dmd Pc
DBA Doing business as Toothbeary Pediatric Dentistry
Authorized official Braxton, Darchelle Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2016
Last updated May 17th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265889570 NPPES
Virginia MEDICAID 03647894

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