Marybeth Fasano Dmd Pc

LBN: Marybeth Fasano Dmd Pc
Marybeth Fasano Dmd Pc is an health care organization with primary practice located at 984 First Colonial Rd Suite 200, Virginia Beach VA 23454-3196. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Marybeth Fasano Dmd Pc can be contacted via phone (757) 412-2235, or through Randolph, Shana D via phone (757) 412-2235.

Contact Information

Primary practice address
984 First Colonial Rd Suite 200 Virginia Beach VA 23454-3196
Phone: (757) 412-2235
Fax: (757) 412-2237
Website:
Map and Directions
Authorized official contact:
Name: Randolph, Shana D
Phone: (757) 412-2235

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 0401008908 Virginia

Profile Details

NPI number 1194905539
LBN Legal business name Marybeth Fasano Dmd Pc
DBA Doing business as
Authorized official Randolph, Shana D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2007
Last updated Nov 13th, 2007 - about 19 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 1194905539 NPPES
Virginia Other 980759 UNITED CONCORDIA
Virginia Other 153899 UNITED CONCORDIA

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