Daniel E Pouchot, DDS, PLLC
Organization Active NPI Dentist · Gloucester, VA
NPI 1205086071 · NPPES record last updated Sep 29, 2008
Key facts
- NPI
- 1205086071
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 0401411819 (VA)
- Legal business name
- DANIEL E POUCHOT, DDS, PLLC
- Practice address
- 5659 Parkway Dr
Suite 140
Gloucester, VA 23061-3782 - Phone
- (804) 332-3000
- NPI assigned
- Sep 29, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Daniel Pouchot, DDS
- Title
- Sole Member
- Phone
- (804) 332-3000
National Provider Directory
Locations
5659 Parkway Dr
Ste 140
Gloucester, VA 23061
Phone (804) 332-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 0401411819 | VA | Yes |
Addresses
Primary practice location
5659 Parkway Dr
Suite 140
Gloucester, VA 23061-3782
Mailing address
5659 Parkway Dr
Suite 140
Gloucester, VA 23061-3782
Phone (804) 332-3000
Other providers in Gloucester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.