| Funpedopark Llc | |
|
1009 Centerbrooke Ln Ste 210 Suffolk VA 23434-8664 | |
| (757) 767-7275 | |
| Not Available |
| Full Name | Funpedopark Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1009 Centerbrooke Ln Ste 210, Suffolk, Virginia |
| Authorized Official Name and Position | Olanrewaju Oye-somefun (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7577677275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Funpedopark Llc 1009 Centerbrooke Ln Ste 210 Suffolk VA 23434-8664 Ph: (757) 767-7275 | Funpedopark Llc 1009 Centerbrooke Ln Ste 210 Suffolk VA 23434-8664 Ph: (757) 767-7275 |
| NPI Number | 1043842214 |
|---|---|
| Provider Enumeration Date | 02/06/2020 |
| Last Update Date | 09/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043842214 | NPI | - | NPPES |
| 0401416127 | Other | VA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Dental Professionals Of Virginia, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Meadow View Blvd, Suffolk, VA 23435 Phone: 757-416-5977 | |
Harbour View Dental Center, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5837 Harbour View Blvd, Suffolk, VA 23435 Phone: 757-686-3636 Fax: 757-686-3737 | |
Dental Professionals Of Virginia, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6255 College Dr, Suite E, Suffolk, VA 23435 Phone: 757-663-5716 | |
Trudeau Endodontics, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 Breezeport Way, Suite 400, Suffolk, VA 23435 Phone: 757-638-4500 | |
Robert E Anderson Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2490 Pruden Boulevard, Suffolk, VA 23434 Phone: 757-934-3000 Fax: 757-934-1200 | |
Riccobene & Associates Cc, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2003 Meade Pkwy, Suffolk, VA 23434 Phone: 757-514-3656 |