Provider Demographics
NPI:1902077225
Name:ROBERT O. KENDIG, D.D.S., LTD.
Entity Type:Organization
Organization Name:ROBERT O. KENDIG, D.D.S., LTD.
Other - Org Name:NONE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:O
Authorized Official - Last Name:KENDIG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-282-2323
Mailing Address - Street 1:8010 RIDGE RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-7288
Mailing Address - Country:US
Mailing Address - Phone:804-282-2323
Mailing Address - Fax:804-282-0349
Practice Address - Street 1:8010 RIDGE RD
Practice Address - Street 2:SUITE #1
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-7288
Practice Address - Country:US
Practice Address - Phone:804-282-2323
Practice Address - Fax:804-282-0349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401005243261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental