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NPI 1790897080

IndividualActive

Carl Hackney, DMD

NPI 1790897080 · Dentist · Grundy, VI

Provider details

NPI number: 1790897080
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: 0401008666 (VA)

Practice location

Riverside Drive

Grundy, VI 24614-2814

Phone: (276) 935-4565

Fax: (276) 935-8545

More VI providers

Mailing address

Po Box 2814

Grundy, VI 24614-2814

Registry dates

Enumerated: 2006-08-31
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Carl Hackney, DMD — NPI 1790897080, Grundy, VI | NPI Central