Advanced Sedation Dentistry | |
200 Battlefield Blvd N Ste 4 Chesapeake VA 23320-3975 | |
(757) 769-7155 | |
(888) 456-0253 |
Full Name | Advanced Sedation Dentistry |
---|---|
Speciality | Clinic/center - Dental |
Location | 200 Battlefield Blvd N Ste 4, Chesapeake, Virginia |
Authorized Official Name and Position | Len Futerman (OWNER) |
Authorized Official Contact | 7577697155 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Advanced Sedation Dentistry 200 Battlefield Blvd N Ste 4 Chesapeake VA 23320-3975 Ph: (757) 769-7155 | Advanced Sedation Dentistry 200 Battlefield Blvd N Ste 4 Chesapeake VA 23320-3975 Ph: (757) 769-7155 |
NPI Number | 1255766234 |
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Provider Enumeration Date | 09/09/2013 |
Last Update Date | 09/09/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255766234 | NPI | - | NPPES |
1346468220 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 411283 (Virginia) | Primary |
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