ISLE OF WIGHT FAMILY & COSMETIC DENTISTRY PC NPI 1124572417

NPI Information

ISLE OF WIGHT FAMILY & COSMETIC DENTISTRY PC is an oral and maxillofacial surgery clinic center in Chesapeake, VA. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ISLE OF WIGHT FAMILY & COSMETIC DENTISTRY PC NPI is 1124572417. The provider is registered as an organization entity type.

The provider's business location address is:

4053 TAYLOR RD
SUITE J
CHESAPEAKE, VA
ZIP 23321-537
Phone: (757) 484-2382
Fax: (757) 484-2383

The provider's authorized official is Brian Patrick Szakaly .
The authorized official title is Director and has the following contact phone number (757) 484-2382.

The enumeration date for this NPI number is 8/4/2016 and was last updated on 8/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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