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MICHAEL EDENFIELD DDS PC NPI 1194013474


NPI Information

NPI: 1194013474
Provider Name: MICHAEL EDENFIELD, DDS PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6263 PORTSMOUTH BLVD
PORTSMOUTH, VA
ZIP 23701
Phone: (757) 488-1285
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MICHAEL EDENFIELD, DDS PC is a dental clinic center in Portsmouth, VA. MICHAEL EDENFIELD, DDS PC NPI is 1194013474. The provider is registered as an organization entity type.

The provider's business location address is:

6263 PORTSMOUTH BLVD
PORTSMOUTH, VA
ZIP 23701-344
Phone: (757) 488-1285
Fax: (757) 465-9132

The provider's authorized official is Nicola J Pismeny .
The authorized official title is Practice Administrator and has the following contact phone number (757) 488-1285.

The enumeration date for this NPI number is 7/20/2011 and was last updated on 7/20/2011.


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
1261QD0000XClinic/CenterDental0401008978VIRGINIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.