| Peninsula Periodontics And Implants Pllc | |
|
1194 Big Bethel Rd Ste B Hampton VA 23666-1906 | |
| (757) 850-2100 | |
| Not Available |
| Full Name | Peninsula Periodontics And Implants Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1194 Big Bethel Rd Ste B, Hampton, Virginia |
| Authorized Official Name and Position | Celeste Vaughn (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 7572587778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Periodontics And Implants Pllc 7151 Richmond Rd Ste 305 Williamsburg VA 23188-7234 Ph: (757) 258-7778 | Peninsula Periodontics And Implants Pllc 1194 Big Bethel Rd Ste B Hampton VA 23666-1906 Ph: (757) 850-2100 |
| NPI Number | 1578247094 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 06/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578247094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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