Charles S. Llewellyn III

NPI #1053657171 in Virginia Beach, Virginia

Provider Information

NPI Number: 1053657171
Entity Type: Organization
Organization Name: Charles S. Llewellyn III
Subpart: Yes (part of a larger organization)
Parent Organization: ATLANTIC DENTAL CARE, PLC
Primary Specialty: Dentist
Enumeration Date: Dec 18, 2012
Last Updated: Dec 18, 2012

Practice Location

Address: 933 FIRST COLONIAL RD
Address 2: SUITE 104
City: Virginia Beach
State: Virginia
ZIP Code: 23454-3172
Phone: (757) 428-2571

Authorized Official

Name: DR. CHARLES SILAS LLEWELLYN III, DDS
Title: DENTIST
Phone: (757) 428-2571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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