| Occohannock Dental | |
|
4208 Seaside Rd Exmore VA 23350-2575 | |
| (757) 678-5151 | |
| Not Available |
| Full Name | Occohannock Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4208 Seaside Rd, Exmore, Virginia |
| Authorized Official Name and Position | Jeannette Edwards (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7574140400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Occohannock Dental 20280 Market St Onancock VA 23417-1331 Ph: (757) 414-0400 | Occohannock Dental 4208 Seaside Rd Exmore VA 23350-2575 Ph: (757) 678-5151 |
| NPI Number | 1316694946 |
|---|---|
| Provider Enumeration Date | 03/03/2022 |
| Last Update Date | 03/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316694946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |