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NPI Code Detail

MEDICARE: DR. JEFFREY C. BAILEY DDS

MEDICARE:  DR. JEFFREY C. BAILEY  DDS
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
11223E0200XEndodontics0401007646VA

General Provider Information

NPI Number : 1184772733
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY C. BAILEY DDS
Provider Business Mailing Address
First Line : 1432 N GREAT NECK RD STE 102
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-1342
Country : US
Telephone Number : 757-486-7857
Fax Number :
Provider Business Practice Location Address
First Line : 1432 N GREAT NECK RD STE 102
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-1342
Country : US
Telephone Number : 757-486-7857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 07/21/2022

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Directions to “ DR. JEFFREY C. BAILEY DDS” Practice Location

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