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PETERSBURG COMPLETE DENTAL CARE PLLC
NPI 1770824435
Dentist - General Practice in Petersburg, VA

Active since March 06, 2013
23 GOODRICH AVE, PETERSBURG, VA 23805(804) 861-5237 Get Directions Write a Review

NPPES record last updated: May 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Petersburg Complete Dental Care Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETERSBURG COMPLETE DENTAL CARE PLLC (NPI 1770824435) is a healthcare organization registered as a general practice in Petersburg, Virginia and active in the NPI registry since March 2013. The organization lists Susan E St. George, Owner, as its authorized official.

NPPES Registry Identity

NPI1770824435
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePETERSBURG COMPLETE DENTAL CARE PLLC
Location Address23 GOODRICH AVEPetersburg, VA 23805-2119
Mailing Address23 Goodrich AvePetersburg, VA 23805-2119 · (804) 861-5237
Phone(804) 861-5237
Organization SubpartNo
Authorized OfficialSusan E St. GeorgeOwner · (804) 861-5237
Enumeration DateMarch 6, 2013
Last NPPES UpdateMay 7, 2013
✔ NPI 1770824435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401412498
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
23 GOODRICH AVE, Petersburg, VA 23805
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUSAN E ST GEORGE DDS
Dentist (General Practice)
23 GOODRICH AVE
PETERSBURG, VA 23805
Petersburg City (804) 861-5237
DR. HERBERT REED BOYD III D.D.S.
Dentist (General Practice)
23 GOODRICH AVE
PETERSBURG, VA 23805
Petersburg City (804) 861-5237

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petersburg Complete Dental Care PLLC's NPI number?

The NPI number for Petersburg Complete Dental Care PLLC is 1770824435. It was assigned to this organization in the NPPES registry on March 6, 2013.

Where is Petersburg Complete Dental Care PLLC located?

Petersburg Complete Dental Care PLLC is located at 23 Goodrich Ave, Petersburg, VA 23805. The listed phone number is (804) 861-5237.

What is Petersburg Complete Dental Care PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Petersburg Complete Dental Care PLLC was last updated on May 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.