| Commonwealth Specialty - Suffolk | |
|
2003 Meade Pkwy Suffolk VA 23434-4259 | |
| (757) 514-3656 | |
| Not Available |
| Full Name | Commonwealth Specialty - Suffolk |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2003 Meade Pkwy, Suffolk, Virginia |
| Authorized Official Name and Position | Michael Riccobene (CEO) |
| Authorized Official Contact | 9108536172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Specialty - Suffolk Po Box 749632 Atlanta GA 30374-9632 Ph: (757) 514-3656 | Commonwealth Specialty - Suffolk 2003 Meade Pkwy Suffolk VA 23434-4259 Ph: (757) 514-3656 |
| NPI Number | 1467226720 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467226720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
Fun Park Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 Centerbrooke Ln Ste 210, Suffolk, VA 23434 Phone: 757-767-7275 | |
Lwss Family Dentistry - Suffolk Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Meadow View Blvd, Suffolk, VA 23435 Phone: 757-416-5977 | |
R L Howell Dds And Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5837 Harbour View Blvd, Suffolk, VA 23435 Phone: 757-686-3636 Fax: 757-686-3737 | |
Suffolk Complete Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6255 College Dr, Suite E, Suffolk, VA 23435 Phone: 757-663-5716 | |
Trudeau Endodontics, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 Breezeport Way, Suite 400, Suffolk, VA 23435 Phone: 757-638-4500 | |
Robert E Anderson Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2490 Pruden Boulevard, Suffolk, VA 23434 Phone: 757-934-3000 Fax: 757-934-1200 | |
Commonwealth Dentistry - Suffolk Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2003 Meade Pkwy, Suffolk, VA 23434 Phone: 757-514-3656 |