| Gladstone & Salerno, Dds,pc | |
|
5318 Providence Rd Virginia Beach VA 23464-4102 | |
| (757) 424-3657 | |
| (757) 424-3451 |
| Full Name | Gladstone & Salerno, Dds,pc |
|---|---|
| Speciality | Dentist |
| Location | 5318 Providence Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Myron David Gladstone (DENTIST) |
| Authorized Official Contact | 7574243657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gladstone & Salerno, Dds,pc 5318 Providence Rd Virginia Beach VA 23464-4102 Ph: (757) 424-3657 | Gladstone & Salerno, Dds,pc 5318 Providence Rd Virginia Beach VA 23464-4102 Ph: (757) 424-3657 |
| NPI Number | 1962431643 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962431643 | NPI | - | NPPES |
| 817549 | Other | PA | UNITED CONCORDIA |
| 094701 | Other | CA | ANTHEM BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4418 & 6630 (Virginia) | Primary |
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