Provider Demographics
NPI:1740593433
Name:DR GEORGE P VARKEY DMD PC
Entity Type:Organization
Organization Name:DR GEORGE P VARKEY DMD PC
Other - Org Name:UNITED SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:P
Authorized Official - Last Name:VARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:804-504-0012
Mailing Address - Street 1:723 SOUTH PARK BLVD.
Mailing Address - Street 2:SUITE F
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23834
Mailing Address - Country:US
Mailing Address - Phone:804-504-0012
Mailing Address - Fax:804-490-0174
Practice Address - Street 1:723 SOUTH PARK BLVD.
Practice Address - Street 2:SUITE F
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23834
Practice Address - Country:US
Practice Address - Phone:804-504-0012
Practice Address - Fax:804-490-0174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014110751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty