Dental Professionals of Virginia, P.c

NPI #1649524752 in Hampton, Virginia

Provider Information

NPI Number: 1649524752
Entity Type: Organization
Organization Name: Dental Professionals of Virginia, P.c
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL PROFESSIONALS OF VIRGINIA, P.C
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 29, 2012
Last Updated: Jan 11, 2014

Practice Location

Address: 70 W MERCURY BLVD STE 102
City: Hampton
State: Virginia
ZIP Code: 23669-2570
Phone: (757) 755-2929

Authorized Official

Name: CARMEN WOODS
Title: CREDENTIALING MANAGER
Phone: (217) 540-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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