Provider Demographics
NPI:1639575913
Name:RIVERVIEW DENTAL CARE, P.C.
Entity Type:Organization
Organization Name:RIVERVIEW DENTAL CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:SNOW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:434-793-2045
Mailing Address - Street 1:4035 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-5152
Mailing Address - Country:US
Mailing Address - Phone:434-793-2045
Mailing Address - Fax:434-793-8820
Practice Address - Street 1:4035 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-5152
Practice Address - Country:US
Practice Address - Phone:434-793-2045
Practice Address - Fax:434-793-8820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA9074291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty