| Greenbrier Dental Center | |
|
1059 Eden Way N Ste 100 Chesapeake VA 23320-2789 | |
| (757) 547-2266 | |
| Not Available |
| Full Name | Greenbrier Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 1059 Eden Way N Ste 100, Chesapeake, Virginia |
| Authorized Official Name and Position | Daniel M Etheridge (PRESIDENT) |
| Authorized Official Contact | 7575472266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenbrier Dental Center 1059 Eden Way N Ste 100 Chesapeake VA 23320-2789 Ph: (757) 547-2266 | Greenbrier Dental Center 1059 Eden Way N Ste 100 Chesapeake VA 23320-2789 Ph: (757) 547-2266 |
| NPI Number | 1003942012 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003942012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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