institution
Jeremy Shulman
Periodontist in Virginia Beach, Virginia
NPI 1871768390

Jeremy Shulman is a Periodontist based in Virginia Beach, VA and is specialized in Periodontics. Jeremy Shulman practices in Virginia Beach, VA. The NPI Number for Jeremy Shulman is 1871768390 and holds a License No. 0401002488 (Virginia).

The current practice location address for Jeremy Shulman is 1301 First Colonial Rd, Virginia Beach, VA and can be reached out via phone at 757-496-8070. You can also correspond with Jeremy Shulman through the mailing address at 2061 THOMAS BISHOP LN, VIRGINIA BEACH, VA - 23454-1129 (mailing address contact number: 757-496-8070).

Location: 1301 First Colonial Rd, Virginia Beach, VA, 23454-1129
institution
Provider Profile Details
NPI Number
1871768390
Provider Name
Jeremy Shulman
Credential
Provider Entity Type
Organization
Address
1301 First Colonial Rd, Virginia Beach, VA, 23454-1129
Phone Number
757-496-8070
Fax Number
Provider Enumeration Date
04/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
147713 01 VA ANTHEM PROVIDER NUMBER
231794 01 VA CIGNA DENTAL
177146 01 VA UNITED CONCORDIA DENTAL
C08502040 01 VA SUBMITTER ID
institution
Provider Business Practice Location Address Details
Address
1301 First Colonial Rd
City
State
Zip
23454-2263
Phone Number
757-496-8070
Fax Number
person
Provider Business Mailing Address Details
Address
1301 First Colonial Rd
City
State
Zip
23454-2263
Phone Number
757-496-8070
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
0401002488 (Virginia)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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