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DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIAPC NPI 1265860928


NPI Information

NPI: 1265860928
Provider Name: DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIA,PC

Doing Business As: CROSS ROAD DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4107 PORTSMOUTH BLVD STE 107
CHESAPEAKE, VA
ZIP 23321
Phone: (757) 488-1421
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DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIA,PC is a general practice dentist in Chesapeake, 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. DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIA,PC NPI is 1265860928. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cross Road Dentistry.

The provider's business location address is:

4107 PORTSMOUTH BLVD STE 107
CHESAPEAKE, VA
ZIP 23321-140
Phone: (757) 488-1421
Fax: (727) 488-7333

The provider's authorized official is Nancy Schiaparelli .
The authorized official title is Chief Financial Officer and has the following contact phone number (727) 800-8040.

The enumeration date for this NPI number is 10/16/2013 and was last updated on 11/10/2021.


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
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1700145001MEDICAIDVIRGINIA

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: 11/14/2023

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