| Oceanfront Endodontics | |
|
1200 First Colonial Road Suite 201 Virginia Beach VA 23454 | |
| (757) 333-3399 | |
| (757) 333-4946 |
| Full Name | Oceanfront Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1200 First Colonial Road, Virginia Beach, Virginia |
| Authorized Official Name and Position | Justin David Martin (PRESIDENT) |
| Authorized Official Contact | 7573333399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oceanfront Endodontics 1200 First Colonial Road Suite 201 Virginia Beach VA 23454 Ph: (757) 333-3399 | Oceanfront Endodontics 1200 First Colonial Road Suite 201 Virginia Beach VA 23454 Ph: (757) 333-3399 |
| NPI Number | 1184749822 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184749822 | NPI | - | NPPES |
| 845982 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 0401008614 (Virginia) | Primary |
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