| Goodove Oral Surgery & Dental Implants | |
|
1127 First Colonial Rd Virginia Beach VA 23454-2402 | |
| (757) 412-2002 | |
| (757) 412-2003 |
| Full Name | Goodove Oral Surgery & Dental Implants |
|---|---|
| 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 |
|---|---|
| Goodove Oral Surgery & Dental Implants 1127 First Colonial Rd Virginia Beach VA 23454-2402 Ph: (757) 412-2002 | Goodove Oral Surgery & Dental Implants 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 |
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