| Hampton Roads Oral And Maxillofacial Surgery | |
|
716 Denbigh Blvd Suite C1 Newport News VA 23608-4414 | |
| (757) 874-6501 | |
| Not Available |
| Full Name | Hampton Roads Oral And Maxillofacial Surgery |
|---|---|
| Speciality | Dentist |
| Location | 716 Denbigh Blvd, Newport News, Virginia |
| Authorized Official Name and Position | Ronald L Tankersley (PARTNER) |
| Authorized Official Contact | 7578746501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampton Roads Oral And Maxillofacial Surgery 716 Denbigh Blvd Suite C1 Newport News VA 23608-4414 Ph: (757) 874-6501 | Hampton Roads Oral And Maxillofacial Surgery 716 Denbigh Blvd Suite C1 Newport News VA 23608-4414 Ph: (757) 874-6501 |
| NPI Number | 1831476886 |
|---|---|
| Provider Enumeration Date | 11/04/2011 |
| Last Update Date | 04/04/2012 |
| Medicare PECOS PAC ID | 3476710062 |
|---|---|
| Medicare Enrollment ID | O20120209000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831476886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | William L Davenport |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1093798696 PECOS PAC ID: 3577636794 Enrollment ID: I20080722000338 |
| Provider Name | Kenneth L Tankersley |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1184607731 PECOS PAC ID: 6709043391 Enrollment ID: I20120209000777 |
Guy G. Levy, D.d.s. And Mayer G. Levy, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 367 Denbigh Blvd, Newport News, VA 23608 Phone: 757-877-9281 Fax: 757-874-2730 | |
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