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5261 Challedon Dr Virginia Beach VA 23462-6315 | |
| (757) 499-2444 | |
| (757) 497-7518 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 5261 Challedon Dr, Virginia Beach, Virginia |
| Authorized Official Name and Position | Thomas Atwood Mckee (DENTIST) |
| Authorized Official Contact | 7574992444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5261 Challedon Dr Virginia Beach VA 23462-6315 Ph: (757) 499-2444 | 5261 Challedon Dr Virginia Beach VA 23462-6315 Ph: (757) 499-2444 |
| NPI Number | 1801309596 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 11/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801309596 | NPI | - | NPPES |
| 7804563 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401007960 (Virginia) | Primary |
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