Provider Demographics
NPI:1689843955
Name:GASKINS & ASSOCIATES, DDS, PLLC
Entity Type:Organization
Organization Name:GASKINS & ASSOCIATES, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRES.
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:E
Authorized Official - Last Name:GASKINS
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-794-9611
Mailing Address - Street 1:703 N COURTHOUSE RD
Mailing Address - Street 2:SUITE #201
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23236-4069
Mailing Address - Country:US
Mailing Address - Phone:804-794-9611
Mailing Address - Fax:804-794-9792
Practice Address - Street 1:703 N COURTHOUSE RD
Practice Address - Street 2:SUITE #201
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23236-4069
Practice Address - Country:US
Practice Address - Phone:804-794-9611
Practice Address - Fax:804-794-9792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401-005791261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental