Search › Virginia › 1223G0001X
Augustus Petticolas, D.D.S
NPI 1023178316 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1342 Park Ave
Lynchburg, VA 24501 - Phone
- (434) 528-3375
- Fax
- (434) 528-2293
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia