| Leisure Dental | |
|
7870 Tidewater Dr Unit 202-203 Norfolk VA 23505-3713 | |
| (757) 222-3880 | |
| (757) 222-5137 |
| Full Name | Leisure Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7870 Tidewater Dr Unit 202-203, Norfolk, Virginia |
| Authorized Official Name and Position | Bruce Haggerty (OWNER/DENTIST) |
| Authorized Official Contact | 2149915166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leisure Dental 4316 Hillingdon Bnd Apt 102 Chesapeake VA 23321-2458 Ph: (214) 991-5166 | Leisure Dental 7870 Tidewater Dr Unit 202-203 Norfolk VA 23505-3713 Ph: (757) 222-3880 |
| NPI Number | 1366909046 |
|---|---|
| Provider Enumeration Date | 02/28/2019 |
| Last Update Date | 02/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366909046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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