| Isle Of Wight Family And Cosmetic Dentistry, P.c. | |
|
200 Gumwood Dr. Building 1 Smithfield VA 23430-1103 | |
| (757) 356-1212 | |
| Not Available |
| Full Name | Isle Of Wight Family And Cosmetic Dentistry, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 Gumwood Dr., Smithfield, Virginia |
| Authorized Official Name and Position | Jennifer F Howard (PRESIDENT) |
| Authorized Official Contact | 7573561212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isle Of Wight Family And Cosmetic Dentistry, P.c. 200 Gumwood Dr. Building 1 Smithfield VA 23430-1103 Ph: (757) 356-1212 | Isle Of Wight Family And Cosmetic Dentistry, P.c. 200 Gumwood Dr. Building 1 Smithfield VA 23430-1103 Ph: (757) 356-1212 |
| NPI Number | 1831361419 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 03/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831361419 | NPI | - | NPPES |
| 113284 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401411511 (Virginia) | Primary |
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