Provider Demographics
NPI:1043762693
Name:BELTRAMI, DIXON AND RHODES DDS, PC
Entity Type:Organization
Organization Name:BELTRAMI, DIXON AND RHODES DDS, PC
Other - Org Name:COMMONWEALTH DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BELTRAMI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-520-4088
Mailing Address - Street 1:456 CHARLES H DIMMOCK PKWY
Mailing Address - Street 2:SUITE 5
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-2936
Mailing Address - Country:US
Mailing Address - Phone:804-520-4088
Mailing Address - Fax:
Practice Address - Street 1:456 CHARLES H DIMMOCK PKWY
Practice Address - Street 2:SUITE 5
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-2936
Practice Address - Country:US
Practice Address - Phone:804-520-4088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL VIRGINIA DENTAL CARE, PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-31
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty