| Randall I. Furman, Dds, Plc | |
|
879 Lynnhaven Pkwy Suite 109 Virginia Beach VA 23452-7270 | |
| (757) 468-4684 | |
| (757) 689-2615 |
| Full Name | Randall I. Furman, Dds, Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 879 Lynnhaven Pkwy, Virginia Beach, Virginia |
| Authorized Official Name and Position | Randall I Furman (OWNER/DENTIST) |
| Authorized Official Contact | 7574684684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall I. Furman, Dds, Plc 879 Lynnhaven Pkwy Suite 109 Virginia Beach VA 23452-7270 Ph: (757) 468-4684 | Randall I. Furman, Dds, Plc 879 Lynnhaven Pkwy Suite 109 Virginia Beach VA 23452-7270 Ph: (757) 468-4684 |
| NPI Number | 1689129215 |
|---|---|
| Provider Enumeration Date | 08/24/2016 |
| Last Update Date | 08/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689129215 | NPI | - | NPPES |
| 542394 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401005228 (Virginia) | Primary |
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