Provider Demographics
NPI:1154488799
Name:MCAVOY & BINDER LLC
Entity Type:Organization
Organization Name:MCAVOY & BINDER LLC
Other - Org Name:FOREST DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BINDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:434-385-7307
Mailing Address - Street 1:1604 GRAVES MILL RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502
Mailing Address - Country:US
Mailing Address - Phone:434-385-7307
Mailing Address - Fax:434-385-0356
Practice Address - Street 1:1604 GRAVES MILL RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502
Practice Address - Country:US
Practice Address - Phone:434-385-7307
Practice Address - Fax:434-385-0356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA06911122300000X
VA0401410522122300000X
VA0401410319122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty