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NANSEMOND SUFFOLK ORAL CARE NPI 1720159437


NPI Information

NPI: 1720159437
Provider Name: NANSEMOND SUFFOLK ORAL CARE

Other Name: DR WYATT M RUFFIN JR

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3940 AIRLINE BLVD
CHESAPEAKE, VA
ZIP 23321
Phone: (757) 465-4884
Get Directions

NANSEMOND SUFFOLK ORAL CARE 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. NANSEMOND SUFFOLK ORAL CARE NPI is 1720159437. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Dr Wyatt M Ruffin Jr.

The provider's business location address is:

3940 AIRLINE BLVD
CHESAPEAKE, VA
ZIP 23321-329
Phone: (757) 465-4884
Fax: (757) 465-4884

The provider's authorized official is Wyatt M Ruffin .
The authorized official title is Owner President and has the following contact phone number (757) 465-4884.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 8/22/2020.


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
17821743MEDICAIDVIRGINIA

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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