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Contact Information

KELLEY M MAYBERRY, RDH
4038 THOMAS NELSON HWY
ARRINGTON, VA22922-2302
 Phone: 434-263-6310
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for KELLEY M MAYBERRY · (Female)

NPI Number 1114574100
Status Active
Credentials RDH (Registered Dental Hygienist)
Entity Individual
Enumeration date 08/23/2019
Last updated 08/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0402207854
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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