Hampton Roads Pediatric Dentistry And Orthodontics, Pllc | |
237 Hanbury Rd E Ste 30 Chesapeake VA 23322-6622 | |
(757) 547-2134 | |
(757) 410-4765 |
Full Name | Hampton Roads Pediatric Dentistry And Orthodontics, Pllc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 237 Hanbury Rd E Ste 30, Chesapeake, Virginia |
Authorized Official Name and Position | Grace O Davis (BUSINESS ADMINISTRATOR) |
Authorized Official Contact | 7573691754 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hampton Roads Pediatric Dentistry And Orthodontics, Pllc 3120 Kiln Creek Pkwy Ste P Yorktown VA 23693-5648 Ph: (757) 369-1754 | Hampton Roads Pediatric Dentistry And Orthodontics, Pllc 237 Hanbury Rd E Ste 30 Chesapeake VA 23322-6622 Ph: (757) 547-2134 |
NPI Number | 1346613528 |
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Provider Enumeration Date | 11/10/2015 |
Last Update Date | 04/12/2019 |
Identifier | Type | State | Issuer |
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1346613528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 0401410912 (Virginia) | Primary |
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