| Ocean Atlantic Dental | |
|
3720 Holland Rd Ste 102 Virginia Beach VA 23452-2859 | |
| (240) 501-6745 | |
| Not Available |
| Full Name | Ocean Atlantic Dental |
|---|---|
| Speciality | Dentist |
| Location | 3720 Holland Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | David R Throckmorton (OWNER) |
| Authorized Official Contact | 7574981663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Atlantic Dental 3720 Holland Rd Ste 102 Virginia Beach VA 23452-2859 Ph: () - | Ocean Atlantic Dental 3720 Holland Rd Ste 102 Virginia Beach VA 23452-2859 Ph: (240) 501-6745 |
| NPI Number | 1780953125 |
|---|---|
| Provider Enumeration Date | 12/14/2011 |
| Last Update Date | 07/31/2023 |
| Medicare PECOS PAC ID | 0547506529 |
|---|---|
| Medicare Enrollment ID | O20190111001754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780953125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401411064 (Virginia) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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