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Contact Information

DARCHELLE M BRAXTON, DMD
2113 HARTFORD ROAD
COLISEUM PEDIATRIC DENTISTRY
HAMPTON, VA23666
 Phone: 804-334-1419
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for DARCHELLE M BRAXTON · (Female)

NPI Number 1033431770
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 02/22/2010
Last updated 09/24/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0401414243
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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