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7400 Granby St Ste D Norfolk VA 23505-3436 | |
(757) 583-1535 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 7400 Granby St Ste D, Norfolk, Virginia |
Authorized Official Name and Position | Ty Justice (DIRECTOR, PAYER RELATIONS) |
Authorized Official Contact | 7578084984 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9825 Kenwood Rd Ste 200 Blue Ash OH 45242-6252 Ph: (513) 808-4984 | 7400 Granby St Ste D Norfolk VA 23505-3436 Ph: (757) 583-1535 |
NPI Number | 1548789969 |
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Provider Enumeration Date | 09/18/2017 |
Last Update Date | 11/28/2018 |
Identifier | Type | State | Issuer |
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1548789969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
James H Boyd Jr Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 E Brambleton Avenue, Ste 9, Norfolk, VA 23510 Phone: 757-623-4820 | |