Provider Demographics
NPI:1316697980
Name:NEGRON GARCIA, CAMILA ALEJANDRA (DDS)
Entity type:Individual
Prefix:
First Name:CAMILA
Middle Name:ALEJANDRA
Last Name:NEGRON GARCIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8014 RICHMOND TAPPAHANNOCK HWY
Mailing Address - Street 2:
Mailing Address - City:AYLETT
Mailing Address - State:VA
Mailing Address - Zip Code:23009-3047
Mailing Address - Country:US
Mailing Address - Phone:804-769-2919
Mailing Address - Fax:804-769-2014
Practice Address - Street 1:8014 RICHMOND TAPPAHANNOCK HWY
Practice Address - Street 2:
Practice Address - City:AYLETT
Practice Address - State:VA
Practice Address - Zip Code:23009-3047
Practice Address - Country:US
Practice Address - Phone:804-769-2919
Practice Address - Fax:804-769-2014
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-26
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014179781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice