MORRISON DENTAL GROUP EAST BEACH PLLC NPI 1912655101

NPI Information

NPI: 1912655101
Provider Name: MORRISON DENTAL GROUP EAST BEACH PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 49D2184019

Address:
4520 PRETTY LAKE AVE
NORFOLK, VA
ZIP 23518
Phone: (757) 362-0600
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MORRISON DENTAL GROUP EAST BEACH PLLC is a dental clinic center in Norfolk, VA. MORRISON DENTAL GROUP EAST BEACH PLLC NPI is 1912655101. The provider is registered as an organization entity type.

The provider's business location address is:

4520 PRETTY LAKE AVE
NORFOLK, VA
ZIP 23518-826
Phone: (757) 362-0600

The provider's authorized official is Celeste Vaughn .
The authorized official title is Executive Assistant and has the following contact phone number (757) 258-7778.

The CLIA number assigned to this NPI record is 49D2184019 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2022 and was last updated on 3/16/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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