|
| |
|
110 Kingsley Lane Suite 504 Norfolk VA 23505 | |
| (757) 489-1811 | |
| (757) 489-5750 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 110 Kingsley Lane, Norfolk, Virginia |
| Authorized Official Name and Position | Harry Edward Ramsey (PRESIDENT) |
| Authorized Official Contact | 7574891811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
110 Kingsley Lane Suite 504 Norfolk VA 23505 Ph: (757) 489-1811 | 110 Kingsley Lane Suite 504 Norfolk VA 23505 Ph: (757) 489-1811 |
| NPI Number | 1629191473 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629191473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | HER3038 (Virginia) | Primary |
| 1223G0001X | Dentist - General Practice | HERIII8727 (Virginia) | Secondary |
James H Boyd Jr Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 E Brambleton Avenue, Ste 9, Norfolk, VA 23510 Phone: 757-623-4820 | |