| Atlantic Dental Care | |
|
2486 Pruden Blvd Suffolk VA 23434-4206 | |
| (757) 539-3021 | |
| Not Available |
| Full Name | Atlantic Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 2486 Pruden Blvd, Suffolk, Virginia |
| Authorized Official Name and Position | Steve A Gwaltney (DENTIST) |
| Authorized Official Contact | 7575393021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Dental Care 2486 Pruden Blvd Suffolk VA 23434-4206 Ph: (757) 539-3021 | Atlantic Dental Care 2486 Pruden Blvd Suffolk VA 23434-4206 Ph: (757) 539-3021 |
| NPI Number | 1750833182 |
|---|---|
| Provider Enumeration Date | 11/02/2016 |
| Last Update Date | 11/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750833182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401006166 (Virginia) | Primary |
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