| Jeremy B. Davidson Dds Pc | |
|
401 N Great Neck Rd Suite 122 Virginia Beach VA 23454-4063 | |
| (504) 834-4392 | |
| Not Available |
| Full Name | Jeremy B. Davidson Dds Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 401 N Great Neck Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Jeremy B Davidson (OWNER DOCTOR) |
| Authorized Official Contact | 5046203400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy B. Davidson Dds Pc 401 N Great Neck Rd Suite 122 Virginia Beach VA 23454-4063 Ph: () - | Jeremy B. Davidson Dds Pc 401 N Great Neck Rd Suite 122 Virginia Beach VA 23454-4063 Ph: (504) 834-4392 |
| NPI Number | 1841552528 |
|---|---|
| Provider Enumeration Date | 06/08/2012 |
| Last Update Date | 06/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841552528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0401412449 (Virginia) | Primary |
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