Provider Demographics
NPI:1356940464
Name:SEVEN PINES DENTAL GROUP SANDSTON LLC
Entity type:Organization
Organization Name:SEVEN PINES DENTAL GROUP SANDSTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:LAMBRECHTS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-514-2260
Mailing Address - Street 1:43 W WILLIAMSBURG RD
Mailing Address - Street 2:
Mailing Address - City:SANDSTON
Mailing Address - State:VA
Mailing Address - Zip Code:23150-2040
Mailing Address - Country:US
Mailing Address - Phone:804-737-2403
Mailing Address - Fax:804-737-1688
Practice Address - Street 1:39 W WILLIAMSBURG RD
Practice Address - Street 2:
Practice Address - City:SANDSTON
Practice Address - State:VA
Practice Address - Zip Code:23150-2040
Practice Address - Country:US
Practice Address - Phone:804-737-7402
Practice Address - Fax:804-737-5442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental