JACK MAVROMATIS DDS LTD. NPI 1134273683

NPI Information

JACK MAVROMATIS DDS, LTD. is a general practice dentist in Virginia Beach, VA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JACK MAVROMATIS DDS, LTD. NPI is 1134273683. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2248 SUNSTATES CT STE 103
VIRGINIA BEACH, VA
ZIP 23451-553
Phone: (757) 496-9123
Fax: (757) 496-2083

The provider's authorized official is Jack Mavromatis .
The authorized official title is Owner Dentist and has the following contact phone number (757) 496-9123.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 4/30/2012.

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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