| Tennessee Enhanced Dental Services Llc | |
|
1301 First Colonial Blvd Virginia Beach VA 23454 | |
| (757) 463-1500 | |
| (757) 463-8727 |
| Full Name | Tennessee Enhanced Dental Services Llc |
|---|---|
| Speciality | Dentist |
| Location | 1301 First Colonial Blvd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Jeffrey Randall Leidy (PRESIDENT OWNER) |
| Authorized Official Contact | 7574631500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Enhanced Dental Services Llc 1301 First Colonial Blvd (headquarters) Virginia Beach VA 23454 Ph: (757) 463-1500 | Tennessee Enhanced Dental Services Llc 1301 First Colonial Blvd Virginia Beach VA 23454 Ph: (757) 463-1500 |
| NPI Number | 1215015250 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215015250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401006498 (Virginia) | Primary |
Dentistry First, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5564 Indian River Rd, Virginia Beach, VA 23464 Phone: 757-366-5084 Fax: 757-366-5095 | |
Comfort Care Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1385 Fordham Dr Ste 106, Virginia Beach, VA 23464 Phone: 757-451-7003 Fax: 757-420-2177 | |
Dennis E. Cleckner Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 N Lynnhaven Rd, Suite 105, Virginia Beach, VA 23452 Phone: 757-340-3231 Fax: 757-340-3231 | |
Red Mill Pediatric Dentistry And Behl Orthodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2033 Fisher Arch, Ste 100, Virginia Beach, VA 23456 Phone: 757-224-3004 | |
Goodove Oral Surgery & Dental Implants Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 First Colonial Rd, Virginia Beach, VA 23454 Phone: 757-412-2002 Fax: 757-412-2003 | |
Atlantic Dental Care, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3145 Virginia Beach Blvd Ste 104, Virginia Beach, VA 23452 Phone: 757-340-7602 | |
Julie Ball, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 Lynnhaven Pkwy, Virginia Beach, VA 23453 Phone: 757-427-1600 Fax: 757-430-0479 |