| Advanced Sedation Dentistry | |
|
616 Virginia Beach Blvd #102 Virginia Beach VA 23451 | |
| (757) 769-7155 | |
| (888) 456-0253 |
| Full Name | Advanced Sedation Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 616 Virginia Beach Blvd, Virginia Beach, 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 616 Virginia Beach Blvd #102 Virginia Beach VA 23451 Ph: (757) 769-7155 | Advanced Sedation Dentistry 616 Virginia Beach Blvd #102 Virginia Beach VA 23451 Ph: (757) 769-7155 |
| NPI Number | 1598043739 |
|---|---|
| Provider Enumeration Date | 07/21/2011 |
| Last Update Date | 07/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598043739 | NPI | - | NPPES |
| 234330 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401411282 (Virginia) | Primary |
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