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Cosmetic Dentistry
Preferred Provider Organization in Chesapeake, Virginia
NPI 1134671514

Cosmetic Dentistry is a Preferred Provider Organization based in Chesapeake, VA. Cosmetic Dentistry practices in Chesapeake, VA. The NPI Number for Cosmetic Dentistry is 1134671514 and holds a License No. 0401411210 (Virginia).

The current practice location address for Cosmetic Dentistry is 931 Providence Rd, Chesapeake, VA and can be reached out via phone at 757-366-0330 and via fax at 757-366-0550.

Location: 931 Providence Rd, Chesapeake, VA, 23325-4200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134671514
Provider Name
Cosmetic Dentistry
Credential
Provider Entity Type
Organization
Address
931 Providence Rd, Chesapeake, VA, 23325-4200
Phone Number
757-366-0330
Fax Number
757-366-0550
Provider Enumeration Date
11/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1649318247 01 VA NPI
1992010953 01 VA THAMES NPI
institution
Provider Business Practice Location Address Details
Address
931 Providence Rd
City
Chesapeake
State
Virginia
Zip
23325-4200
Phone Number
757-366-0330
Fax Number
757-366-0550
person
Provider Business Mailing Address Details
Address
931 Providence Rd
City
Chesapeake
State
Virginia
Zip
23325-4200
Phone Number
757-366-0330
Fax Number
757-366-0550
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
0401411210 (Virginia)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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