Organization · Type 2 NPI

Dental Professionals of Virginia, P.c.

General Practice Dentistry · Suffolk, VA

NPI number 1053077453 Active

Practice location

210 Meadow View Blvd
Suffolk, VA 23435-3495

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other general practice dentistry providers in Suffolk

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NPI record

NPI: 1053077453
Entity type: Organization (Type 2)
Issued: Nov 10, 2021
Last updated: Nov 17, 2021
Status: Active
Subpart: Yes of Dental Professionals of Virginia, P.c.

Other names

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LWSS Family Dentistry - Suffolk · doing business as

Authorized official

Hillary Thull
Credentialing Coordiantor
(217) 540-8946

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053077453

Dental Professionals of Virginia, P.c.'s National Provider Identifier is 1053077453, issued on Nov 10, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Suffolk, VA. The record was last updated on Nov 17, 2021.