| Dental Professionals Of Virginia, P.c. | |
| 
					210 Meadow View Blvd Suffolk VA 23435-3495  | |
| (757) 416-5977 | |
| Not Available | 
| Full Name | Dental Professionals Of Virginia, P.c. | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 210 Meadow View Blvd, Suffolk, Virginia | 
| Authorized Official Name and Position | Hillary Thull (CREDENTIALING COORDIANTOR) | 
| Authorized Official Contact | 2175408946 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dental Professionals Of Virginia, P.c. 210 Meadow View Blvd Suffolk VA 23435-3495 Ph: () -  | Dental Professionals Of Virginia, P.c. 210 Meadow View Blvd Suffolk VA 23435-3495 Ph: (757) 416-5977  | 
| NPI Number | 1053077453 | 
|---|---|
| Provider Enumeration Date | 11/10/2021 | 
| Last Update Date | 11/17/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053077453 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
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