Dr Wyatt M Ruffin Jr

LBN: Nansemond Suffolk Oral Care
Dr Wyatt M Ruffin Jr is an health care organization with primary practice located at 3940 Airline Blvd , Chesapeake VA 23321-3329. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Nansemond Suffolk Oral Care can be contacted via phone (757) 465-4884, or through Ruffin, Wyatt M via phone (757) 465-4884.

Contact Information

Primary practice address
3940 Airline Blvd Chesapeake VA 23321-3329
Phone: (757) 465-4884
Fax: (757) 465-4884
Website:
Map and Directions
Authorized official contact:
Name: Ruffin, Wyatt M Doctor of Dental Surgery (DDS)
Phone: (757) 465-4884

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1720159437
LBN Legal business name Nansemond Suffolk Oral Care
DBA Doing business as Dr Wyatt M Ruffin Jr
Authorized official Ruffin, Wyatt M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1720159437 NPPES
Virginia MEDICAID 7821743

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