DENTISTRY OF VIRGINIA BEACH PLC NPI 1922417112

NPI Information

NPI: 1922417112
Provider Name: DENTISTRY OF VIRGINIA BEACH, PLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1805 COLONIAL MEDICAL CT
VIRGINIA BEACH, VA
ZIP 23454
Phone: (757) 961-4300
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DENTISTRY OF VIRGINIA BEACH, PLC is a dental clinic center in Virginia Beach, VA. DENTISTRY OF VIRGINIA BEACH, PLC NPI is 1922417112. The provider is registered as an organization entity type.

The provider's business location address is:

1805 COLONIAL MEDICAL CT
VIRGINIA BEACH, VA
ZIP 23454-034
Phone: (757) 961-4300

The provider's authorized official is Jorge Pelaez .
The authorized official title is Owner/dentist and has the following contact phone number (757) 961-4300.

The enumeration date for this NPI number is 8/13/2014 and was last updated on 8/13/2014.

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	0401411435	VIRGINIA	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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