Provider Demographics
NPI:1124118534
Name:TREGASKES, JOSEPH NELLO (DMD MS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:NELLO
Last Name:TREGASKES
Suffix:
Gender:M
Credentials:DMD MS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2008 BREMO ROAD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226
Mailing Address - Country:US
Mailing Address - Phone:804-282-0510
Mailing Address - Fax:804-282-1346
Practice Address - Street 1:2008 BREMO ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226
Practice Address - Country:US
Practice Address - Phone:804-282-0510
Practice Address - Fax:804-282-1346
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA043121223G0001X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223P0700XDental ProvidersDentistProsthodontics