Antone Exum DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401006994 Issued in VA

Legal business name

ANTONE EXUM DDS

Practice address

10124 W Broad St
Ste Q
Glen Allen, VA 23060-3330

Phone

(804) 212-2501

Fax

(804) 887-6238

NPI assigned

Oct 18, 2016

Organization subpart

Yes

Parent organization

CENTRAL VIRGINIA DENTAL CAREAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Antone C Exum, DDS

Title

Dentist/Owner

Phone

(804) 212-2501

Specialties & licenses 1

Addresses

Part of

Russell Mosher DDS PC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1972054773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10124 W BROAD ST",
            "address_2": "STE Q",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603330",
            "telephone_number": "804-212-2501",
            "fax_number": "804-887-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10124 W BROAD ST",
            "address_2": "STE Q",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603330",
            "telephone_number": "804-212-2501",
            "fax_number": "804-887-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONE EXUM DDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "EXUM",
        "authorized_official_first_name": "ANTONE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "804-212-2501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.