Provider Demographics
NPI:1285898841
Name:JAMES RIVER FAMILY DENTISTRY, P.C.
Entity type:Organization
Organization Name:JAMES RIVER FAMILY DENTISTRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCI
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTHRIE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-323-4200
Mailing Address - Street 1:2805 MCRAE RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-3049
Mailing Address - Country:US
Mailing Address - Phone:804-323-4200
Mailing Address - Fax:804-323-6220
Practice Address - Street 1:2805 MCRAE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-3049
Practice Address - Country:US
Practice Address - Phone:804-323-4200
Practice Address - Fax:804-323-6220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014107411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty