MEDICARE: DRS. SHIFLET, COX AND MORGAN, PLC

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	1223G0001X	General Practice Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	331139	OTHER	VA	BCBS
2	523320	OTHER	VA	UNITED CONCORDIA
3	331140	OTHER	VA	BCBS
4	549754	OTHER	VA	UNITED CONCORDIA
5	791107	OTHER	VA	UNITED CONCORDIA
6	331138	OTHER	VA	BCBS

General Provider Information

NPI Number	:	1982687562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS. SHIFLET, COX AND MORGAN, PLC

Provider Business Mailing Address
First Line	:	3145 VIRGINIA BEACH BLVD
Second Line	:	SUITE 104
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-6950
Country	:	US
Telephone Number	:	757-340-7602
Fax Number	:	757-340-8609

Provider Business Practice Location Address
First Line	:	3145 VIRGINIA BEACH BLVD
Second Line	:	SUITE 104
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-6950
Country	:	US
Telephone Number	:	757-340-7602
Fax Number	:	757-340-8609

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. HARVEY H. SHIFLET
Credential	:	D.D.S.
Telephone Number	:	757-340-7602

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	08/22/2020

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Directions to “DRS. SHIFLET, COX AND MORGAN, PLC ” Practice Location

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