| A Division Of Atlantic Dental Care | |
|
524 Albemarle Dr Chesapeake VA 23322-5500 | |
| (757) 547-3869 | |
| Not Available |
| Full Name | A Division Of Atlantic Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 524 Albemarle Dr, Chesapeake, Virginia |
| Authorized Official Name and Position | David Bruce Graham (DENTIST) |
| Authorized Official Contact | 7575477070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Division Of Atlantic Dental Care 524 Albemarle Dr Chesapeake VA 23322-5500 Ph: () - | A Division Of Atlantic Dental Care 524 Albemarle Dr Chesapeake VA 23322-5500 Ph: (757) 547-3869 |
| NPI Number | 1720451354 |
|---|---|
| Provider Enumeration Date | 11/04/2015 |
| Last Update Date | 11/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720451354 | NPI | - | NPPES |
| 007818807 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401005774 (Virginia) | Primary |
| 122300000X | Dentist | 0401414963 (Virginia) | Secondary |
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