|
| |
|
1127 First Colonial Rd Virginia Beach VA 23454-2402 | |
| (757) 412-2002 | |
| (757) 412-2003 |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1127 First Colonial Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Scott Robbins Goodove (CEO) |
| Authorized Official Contact | 7574122002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1127 First Colonial Rd Virginia Beach VA 23454-2402 Ph: (757) 412-2002 | 1127 First Colonial Rd Virginia Beach VA 23454-2402 Ph: (757) 412-2002 |
| NPI Number | 1043498231 |
|---|---|
| Provider Enumeration Date | 02/10/2008 |
| Last Update Date | 05/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043498231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 401410548 (Virginia) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401410548 (Virginia) | Primary |
Dentistry First, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5564 Indian River Rd, Virginia Beach, VA 23464 Phone: 757-366-5084 Fax: 757-366-5095 | |
Comfort Care Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1385 Fordham Dr Ste 106, Virginia Beach, VA 23464 Phone: 757-451-7003 Fax: 757-420-2177 | |
Red Mill Pediatric Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2336 Elson Green Ave Ste 101, Virginia Beach, VA 23456 Phone: 757-301-2064 | |
Pediatric Dental Care Of Tidewater Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2029 Lynnhaven Pkwy, Virginia Beach, VA 23456 Phone: 757-703-1923 | |
Bonney Road Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3933 Bonney Rd, Virginia Beach, VA 23452 Phone: 757-339-2154 |