| Cd Virginia Dental P.c. | |
|
931 Providence Rd Chesapeake VA 23325-4200 | |
| (757) 366-0330 | |
| (757) 366-0550 |
| Full Name | Cd Virginia Dental P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 931 Providence Rd, Chesapeake, Virginia |
| Authorized Official Name and Position | Ty Justice (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Contact | 5138084984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cd Virginia Dental P.c. 9825 Kenwood Rd Ste 200 Blue Ash OH 45242-6252 Ph: (513) 609-4076 | Cd Virginia Dental P.c. 931 Providence Rd Chesapeake VA 23325-4200 Ph: (757) 366-0330 |
| NPI Number | 1144790528 |
|---|---|
| Provider Enumeration Date | 11/28/2018 |
| Last Update Date | 11/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144790528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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