| Jeffrey L Ezekiel Dds Pc | |
|
3301 Hampton Hwy Ste M Yorktown VA 23693-2967 | |
| (757) 867-5003 | |
| (757) 867-5006 |
| Full Name | Jeffrey L Ezekiel Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3301 Hampton Hwy Ste M, Yorktown, Virginia |
| Authorized Official Name and Position | Jeffrey L Ezekiel (OWNER) |
| Authorized Official Contact | 7578675003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey L Ezekiel Dds Pc 3301 Hampton Hwy Ste M Yorktown VA 23693-2967 Ph: (757) 867-5003 | Jeffrey L Ezekiel Dds Pc 3301 Hampton Hwy Ste M Yorktown VA 23693-2967 Ph: (757) 867-5003 |
| NPI Number | 1568632370 |
|---|---|
| Provider Enumeration Date | 03/07/2008 |
| Last Update Date | 03/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568632370 | NPI | - | NPPES |
| 7803532 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401007624 (Virginia) | Primary |
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