Cosmetic Dentistry

LBN: Cosmetic Dentistry
Cosmetic Dentistry is an health care organization with primary practice located at 931 Providence Rd , Chesapeake VA 23325-4200. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Cosmetic Dentistry can be contacted via phone (757) 366-0330, or through Hickman, Taylor via phone (757) 366-0330.

Contact Information

Primary practice address
931 Providence Rd Chesapeake VA 23325-4200
Phone: (757) 366-0330
Fax: (757) 366-0550
Website:
Map and Directions
Authorized official contact:
Name: Hickman, Taylor
Phone: (757) 366-0330

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 0401411210 Virginia

Profile Details

NPI number 1134671514
LBN Legal business name Cosmetic Dentistry
DBA Doing business as
Authorized official Hickman, Taylor
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2016
Last updated Nov 1st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134671514 NPPES
Virginia Other 1649318247 NPI
Virginia Other 1992010953 NPI

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