MEDICARE: LOUIS J MARCONYAK DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	3981	VA

General Provider Information

NPI Number	:	1073552386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUIS J MARCONYAK DMD

Provider Business Mailing Address
First Line	:	351 EDWIN DR
Second Line	:	SUITE 104
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-4559
Country	:	US
Telephone Number	:	757-499-3530
Fax Number	:	757-473-3576

Provider Business Practice Location Address
First Line	:	351 EDWIN DR
Second Line	:	SUITE 104
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-4559
Country	:	US
Telephone Number	:	757-499-3530
Fax Number	:	757-473-3576

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	11/04/2014

Similar Medicare Providers

1053275172 — RITU BALA FNP-BC
Practice Location Address:

351 EDWIN DR STE 102
VIRGINIA BEACH, VA
23462-4559

Practice Phone: 757-499-5550
Practice Fax: 757-473-0919

1205832979 — ALLEN R. FENDERSON M.D.
Practice Location Address:

351 EDWIN DR , STE 102
VIRGINIA BEACH, VA
23462-4559

Practice Phone: 757-499-5550
Practice Fax:

1144201062 — MARK R WINTERS MD
Practice Location Address:

351 EDWIN DR , SUITE 102
VIRGINIA BEACH, VA
23462-4559

Practice Phone: 757-499-5550
Practice Fax: 757-473-0919

1285609768 — DR. JOY GIANVITTORIO MD
Practice Location Address:

351 EDWIN DR STE 102
VIRGINIA BEACH, VA
23462-4559

Practice Phone: 757-499-5550
Practice Fax: 757-473-0919

1881738144 — KAREN PATTERSON PA-C
Practice Location Address:

351 EDWIN DR , SUITE 102
VIRGINIA BEACH, VA
23462-4559

Practice Phone: 757-499-5550
Practice Fax: 757-473-0919

1396876223 — DR. PAUL M. BRICKMAN LTD.
Practice Location Address:

351 EDWIN DR , SUITE 103
VIRGINIA BEACH, VA
23462-4559

Practice Phone: 757-499-9839
Practice Fax:

Directions to “ LOUIS J MARCONYAK DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.