| Cross Road Dentistry | |
|
4107 Portsmouth Blvd Ste 107 Chesapeake VA 23321-2140 | |
| (757) 488-1421 | |
| (727) 488-7333 |
| Full Name | Cross Road Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4107 Portsmouth Blvd Ste 107, Chesapeake, Virginia |
| Authorized Official Name and Position | Nancy Schiaparelli (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7278008040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross Road Dentistry 136 4th St N Ste 201 St Petersburg FL 33701-3889 Ph: (727) 800-8026 | Cross Road Dentistry 4107 Portsmouth Blvd Ste 107 Chesapeake VA 23321-2140 Ph: (757) 488-1421 |
| NPI Number | 1265860928 |
|---|---|
| Provider Enumeration Date | 10/16/2013 |
| Last Update Date | 03/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265860928 | NPI | - | NPPES |
| 700145001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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