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TREMONT ROAD DENTAL SUPER P.C. NPI 1275620866


NPI Information

NPI: 1275620866
Provider Name: TREMONT ROAD DENTAL SUPER, P.C.

Doing Business As: SPENCER DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4072 VICTORY BLVD.
PORTSMOUTH, VA
ZIP 23701
Phone: (757) 465-3834
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TREMONT ROAD DENTAL SUPER, P.C. is a general practice dentist in Portsmouth, 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. TREMONT ROAD DENTAL SUPER, P.C. NPI is 1275620866. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Spencer Dental.

The provider's business location address is:

4072 VICTORY BLVD.
PORTSMOUTH, VA
ZIP 23701
Phone: (757) 465-3834
Fax: (757) 465-3835

The provider's authorized official is Michelle Jacomino .
The authorized official title is Director Of Payor Relations and has the following contact phone number (770) 916-5036.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 1/18/2024.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryNo
21223E0200XDentistEndodonticsNo
31223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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