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 |
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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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