Tidewater Family Dentistry
NPI #1457756884 in Newport News, Virginia
Provider Information
- NPI Number
- 1457756884
- Entity Type
- Organization
- Organization Name
- Tidewater Family Dentistry
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ATLANTIC DENTAL CARE, PLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 28, 2014
- Last Updated
- Oct 28, 2014
Practice Location
- Address
- 559 DENBIGH BLVD
- City
- Newport News
- State
- Virginia
- ZIP Code
- 23608-4215
- Phone
- (757) 877-6787
Authorized Official
- Name
- DR. JOHN RANDALL OWEN, DDS
- Title
- DENTIST
- Phone
- (757) 877-6787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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