Provider Demographics
NPI:1033585591
Name:BORN, CATHERINE DOSWELL (DDS)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:DOSWELL
Last Name:BORN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:CARTER
Other - Last Name:DOSWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:827 PEPPER AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2706
Mailing Address - Country:US
Mailing Address - Phone:804-402-2839
Mailing Address - Fax:
Practice Address - Street 1:7240 PATTERSON AVE STE 300
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23229-6751
Practice Address - Country:US
Practice Address - Phone:804-256-2808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014159671223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics