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NPI Code Detail

MEDICARE: ERIC LOUIS NIVER DDS, MS

MEDICARE:   ERIC LOUIS NIVER  DDS, MS
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
11223P0300XPeriodontics56289CA
21223P0300XPeriodontics0401413912VA

General Provider Information

NPI Number : 1912166869
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC LOUIS NIVER DDS, MS
Provider Business Mailing Address
First Line : 4040 TIMBER RIDGE DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-7017
Country : US
Telephone Number : 559-697-3746
Fax Number :
Provider Business Practice Location Address
First Line : 4040 TIMBER RIDGE DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-7017
Country : US
Telephone Number : 559-697-3746
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2008
Last Update Date : 01/10/2024

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Directions to “ ERIC LOUIS NIVER DDS, MS” Practice Location

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