| Jeremy Shulman | |
|
1301 First Colonial Rd Virginia Beach VA 23454-2263 | |
| (757) 496-8070 | |
| Not Available |
| Full Name | Jeremy Shulman |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1301 First Colonial Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Rochelle Denise Cubitt (OFFICE MANAGER) |
| Authorized Official Contact | 7574968070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Shulman 2061 Thomas Bishop Ln Virginia Beach VA 23454-1129 Ph: (757) 496-8070 | Jeremy Shulman 1301 First Colonial Rd Virginia Beach VA 23454-2263 Ph: (757) 496-8070 |
| NPI Number | 1871768390 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 11/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871768390 | NPI | - | NPPES |
| 147713 | Other | VA | ANTHEM PROVIDER NUMBER |
| 231794 | Other | VA | CIGNA DENTAL |
| 177146 | Other | VA | UNITED CONCORDIA DENTAL |
| C08502040 | Other | VA | SUBMITTER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 0401002488 (Virginia) | Primary |
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