Provider Demographics
NPI:1811203508
Name:BREEN, APRIL
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:BREEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9950 COURTHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLES CITY
Mailing Address - State:VA
Mailing Address - Zip Code:23030-3434
Mailing Address - Country:US
Mailing Address - Phone:804-829-6600
Mailing Address - Fax:804-829-6182
Practice Address - Street 1:9950 COURTHOUSE RD
Practice Address - Street 2:
Practice Address - City:CHARLES CITY
Practice Address - State:VA
Practice Address - Zip Code:23030-3434
Practice Address - Country:US
Practice Address - Phone:804-226-6383
Practice Address - Fax:804-829-6182
Is Sole Proprietor?:No
Enumeration Date:2010-08-19
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014129651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice