| A Division Of Atlantic Dental Care | |
|
213 Bulifants Blvd Suite E Williamsburg VA 23188-5733 | |
| (757) 345-5500 | |
| Not Available |
| Full Name | A Division Of Atlantic Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 213 Bulifants Blvd, Williamsburg, Virginia |
| Authorized Official Name and Position | Brett Dunnill (DENTIST) |
| Authorized Official Contact | 7573455500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Division Of Atlantic Dental Care 213 Bulifants Blvd Suite E Williamsburg VA 23188-5733 Ph: (757) 345-5500 | A Division Of Atlantic Dental Care 213 Bulifants Blvd Suite E Williamsburg VA 23188-5733 Ph: (757) 345-5500 |
| NPI Number | 1154726115 |
|---|---|
| Provider Enumeration Date | 11/03/2014 |
| Last Update Date | 11/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154726115 | NPI | - | NPPES |
| 0401411453 | Medicaid | VA | |
| 0401413221 | Medicaid | VA | |
| 0401410542 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401410542 (Virginia) | Primary |
| 122300000X | Dentist | 0401411453 (Virginia) | Secondary |
| 122300000X | Dentist | 0401413221 (Virginia) | Secondary |
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John H. Speegle And Associates, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7349 Richmond Rd, Williamsburg, VA 23188 Phone: 757-564-8942 Fax: 757-564-8667 |