| Va Beach Dental, Pllc | |
|
4625 Virginia Beach Blvd Ste 101a Virginia Beach VA 23462-7789 | |
| (757) 807-2137 | |
| Not Available |
| Full Name | Va Beach Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4625 Virginia Beach Blvd Ste 101a, Virginia Beach, Virginia |
| Authorized Official Name and Position | Christine Barber (PROVIDER ENROLLMENT TEAM LEAD) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Va Beach Dental, Pllc Po Box 70887 Cleveland OH 44190-0887 Ph: (315) 454-6000 | Va Beach Dental, Pllc 4625 Virginia Beach Blvd Ste 101a Virginia Beach VA 23462-7789 Ph: (757) 807-2137 |
| NPI Number | 1962211128 |
|---|---|
| Provider Enumeration Date | 01/02/2025 |
| Last Update Date | 01/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962211128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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