Doctor Name: | DR. PHILIP JOSEPH RENDER |
NPI Number: | 1902916844 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DMD |
License Number: | VA0401008390 |
Business Practice Address: | 7198 Chapman Dr Suite 7 Hayes, VA - 230723416 |
Business Phone Number: | 8046849971 |
Business Fax Number: | 8046422097 |
Mailing Address: | 125 Laydon Way, POQUOSON |
State: | VA |
Postal Code: | 236622243 |
Phone Number: | 7578687331 |
Fax Number: | 8046422097 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0700X |
License Number: | VA0401008390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Prosthodontics |
Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |