Organization · Type 2 NPI
Michael Edenfield, DDS PC
Dental Clinic/Center · Portsmouth, VA
NPI number
1194013474
Active
Practice location
6263 Portsmouth Blvd
Portsmouth, VA 23701-1344
Fax (757) 465-9132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 0401008978 (VA) |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Portsmouth
About NPI 1194013474
Michael Edenfield, DDS PC's National Provider Identifier is 1194013474, issued on Jul 20, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Portsmouth, VA. The record was last updated on Jul 20, 2011.